Individual
DIANE PACES-WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1415 W NC HIGHWAY 54 STE 201, DURHAM, NC 27707-5598
(919) 599-3095
Mailing address
713 W CLUB BLVD, DURHAM, NC 27701-1227
(919) 599-3095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009681
NC
Other
Enumeration date
06/11/2015
Last updated
06/24/2022
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