Individual
DEIDRE LASCHE' NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
515 EATON ST, FAYETTEVILLE, NC 28301-4003
(910) 229-1278
Mailing address
5302 YADKIN RD, FAYETTEVILLE, NC 28303-3255
(910) 527-1908
(910) 860-3903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015517
NC
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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