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Individual

DYLAN STOCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC-I, MSW, LCSWA

Contact information

Practice address
3460 CAPUANO RD, LUMBERTON, NC 28358-3478
(910) 522-0421
Mailing address
PO BOX 8, LUMBERTON, NC 28359-0008
(910) 522-0421

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014451
NC

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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