Organization
COMPOSED LIFE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN READ PLACE L.C.S.W. (OWNER)
(919) 286-3060
Entity
Organization
Contact information
Practice address
810 IREDELL ST, DURHAM, NC 27705-4120
(919) 286-3060
(919) 416-3711
Mailing address
810 IREDELL ST, DURHAM, NC 27705-4120
(919) 286-3060
(919) 416-3711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649314105
NPI FOR MARIAN R. PLACE, LCSW AS AN INDIVIDUAL
NC
Enumeration date
08/21/2008
Last updated
08/21/2008
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