Individual
CHANTALE NGEBUM NDIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 BOONE TRL, FAYETTEVILLE, NC 28306-2189
(910) 758-1664
Mailing address
5442 THACKERAY DR, FAYETTEVILLE, NC 28306-8464
(315) 405-3479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021765
NC
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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