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Individual

MS. DESTINI WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW-A

Contact information

Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-4497
(984) 215-5222
Mailing address
590 MANNING DR, CHAPEL HILL, NC 27599-7251
(984) 215-5222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
P010109
NC
207Q00000X
Family Medicine Physician
Primary
P015811
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YP2500X
NC
Enumeration date
12/30/2015
Last updated
03/12/2021
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