Individual
MS. JOAN HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 FOREST HILL CT, LOUISBURG, NC 27549-9797
(919) 496-2352
Mailing address
36 FOREST HILL CT, LOUISBURG, NC 27549-9797
(919) 496-2352
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-035-048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MHL-035-048
—
NC
Enumeration date
12/18/2007
Last updated
12/18/2007
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