Individual
DEKEVIAS J ATKINSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5505 CREEDMOOR ROAD, STE 100, RALEIGH, NC 27612-6333
(919) 852-5352
(919) 852-5323
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007406
NC
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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