Individual
MS. ADINA AMBAR MIDDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4109 WAKE FOREST RD., STE. 304, RALEIGH, NC 27609-7323
(919) 612-0706
(919) 790-2361
Mailing address
4109 WAKE FOREST RD., STE. 304, RALEIGH, NC 27609-7323
(919) 612-0706
(919) 790-2361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140MV
HEALTH CHOICE NC STATE
NC
01
—
282232
COMPSYCH
NC
05
—
6003705
—
NC
Enumeration date
09/16/2006
Last updated
09/23/2007
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