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Individual

MRS. DENISE FARANTATOS ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW/MSW, QDDP,QMHP

Contact information

Practice address
3900 BARRETT DR STE 301C, RALEIGH, NC 27609-6610
(919) 520-3646
Mailing address
3304 ASHBY PL, RALEIGH, NC 27604-1602
(919) 520-3646

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C004326
NC
1041C0700X
Clinical Social Worker
Primary
C004326
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13650
BCBSNC
NC
05
6002799
NC
Enumeration date
05/15/2006
Last updated
03/06/2023
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