Individual
ANNA C VAN DIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 TRENT DRIVE, DURHAM, NC 27705
(919) 668-5559
(919) 668-4496
Mailing address
402 TRENT DRIVE, DURHAM, NC 27705
(919) 668-5559
(919) 668-4496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004560
NC
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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