Individual
DANIELLE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3945 MARKET ST UNIT B, WILMINGTON, NC 28403-1403
(910) 523-2466
(910) 994-4870
Mailing address
3945 MARKET ST UNIT B, WILMINGTON, NC 28403-1403
(910) 523-2466
(910) 994-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016260
VA
1041C0700X
Clinical Social Worker
Primary
C017109
NC
Other
Enumeration date
01/16/2024
Last updated
09/25/2025
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