Individual
CHRISTINE NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 SALEM WOODS DR STE 104, RALEIGH, NC 27615-3345
(919) 819-6082
(919) 573-0438
Mailing address
909 HADEL PL, KNIGHTDALE, NC 27545-8698
(919) 413-8367
(919) 573-0438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011640
NC
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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