Individual
AVIS J. DUBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, P-LCAS
Contact information
Practice address
100 GARRISON AVE, CLAYTON, NC 27520-6767
(919) 632-2074
Mailing address
PO BOX 41513, RALEIGH, NC 27629-1513
(919) 632-8111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007395
NC
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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