Individual
MRS. DAVEISHA MERCEDES TANCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
919 N MAIN ST STE B, MOORESVILLE, NC 28115-2355
(561) 317-2777
Mailing address
7943 ROLLING MEADOWS LN, HUNTERSVILLE, NC 28078-3349
(561) 317-2777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012880
NC
Other
Enumeration date
09/19/2017
Last updated
06/10/2020
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