Individual
MRS. AMANDA L.. CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 671-3453
(910) 671-3484
Mailing address
4094 HWY 710 N, PEMBROKE, NC 28372
(910) 671-3453
(910) 671-3484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142JM
BCBS NUMBER
NC
01
—
C005300
LICENSE NUMBER
NC
Enumeration date
07/05/2006
Last updated
10/02/2012
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