Individual
ANDREA MIESMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5501 FORTUNES RIDGE DR, DURHAM, NC 27713-6102
(919) 330-4147
Mailing address
3515 RACINE ST, DURHAM, NC 27707-3607
(919) 519-8330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016915
NC
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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