Individual
DOREATHA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 WAKE FOREST RD STE 280, RALEIGH, NC 27609-6859
(984) 212-0028
Mailing address
5212 ROCKINGHAM RD, FAYETTEVILLE, NC 28311-1348
(919) 987-5331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020024
NC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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