Individual
DANIELLE NICOLE POTEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
400 FLEMINGTON DR, LAKE WACCAMAW, NC 28450
(704) 718-8914
Mailing address
PO BOX 127, LAKE WACCAMAW, NC 28450-0127
(704) 718-8914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017589
NC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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