Individual
AUDRY JULIA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
725 WELLINGTON AVE STE A, WILMINGTON, NC 28401-7665
(910) 465-7394
Mailing address
2058 WILLOW STONE CT, LELAND, NC 28451-3110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018857
NC
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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