Individual
DOUGLAS LONNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 802-2552
Mailing address
3000 NEW BERN AVE, PO BOX 14465, RALEIGH, NC 27610-1231
(919) 802-2552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
COO8040
NC
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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