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Individual

DANIEL SHANE PLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
(828) 262-5687
Mailing address
284 EXECUTIVE PARK DR, 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
P004440
NC
1041C0700X
Clinical Social Worker
Primary
C007682
NC

Other

Enumeration date
04/01/2008
Last updated
08/21/2017
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