Individual
CHARITY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W STEWART PARKWAY, WASHINGTON, NC 27889
(252) 946-0585
Mailing address
100 OUTERBRIDGE RD, WILLIAMSTON, NC 27892-9338
(804) 479-5780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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