Individual
CORRINE SHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6370 BROADSTONE WAY, APEX, NC 27502-4797
(336) 269-3424
Mailing address
6370 BROADSTONE WAY, APEX, NC 27502-4797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952630949
—
NC
Enumeration date
04/14/2014
Last updated
10/18/2016
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