Individual
CONSTANCE JEAN SKOGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 FOUNTAINHEAD LN, FAYETTEVILLE, NC 28301-5462
(910) 485-7005
(910) 485-8629
Mailing address
PO BOX 53280, FAYETTEVILLE, NC 28305-3280
(910) 485-7005
(910) 485-8629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76762
BC/BS PROVIDER #
NC
Enumeration date
01/04/2006
Last updated
03/23/2009
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