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Individual

MR. DAVID M MODLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
501 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2513
(336) 551-8169
(336) 948-6701
Mailing address
1214 SPILLMAN RD, MOCKSVILLE, NC 27028-7824
(252) 531-0208

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C019677
NC
1041C0700X
Clinical Social Worker
Primary
P019615
NC
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/11/2022
Last updated
03/30/2026
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