Individual
AMY MELISSA NUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5401 SIX FORKS RD STE 200, RALEIGH, NC 27609-4462
(919) 886-4052
Mailing address
5401 SIX FORKS RD STE 200, RALEIGH, NC 27609-4462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019465
NC
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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