Individual
CLOVER CASSIDY MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-4000
Mailing address
502 MAPLE AVE, BURLINGTON, NC 27215
(336) 693-4086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CO12357
NC
1041C0700X
Clinical Social Worker
P011716
NC
Other
Enumeration date
06/29/2017
Last updated
09/06/2022
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