Individual
DIANE MULDOON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 TRUESDALE PL, CHARLOTTE, NC 28277-8649
(704) 544-0123
Mailing address
4800 TRUESDALE PL, CHARLOTTE, NC 28277-8649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002114
NC
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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