Individual
MR. DOUGLAS ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 SAINT MARYS ST, RALEIGH, NC 27605-1809
(919) 815-4748
Mailing address
2311 BYRD ST, RALEIGH, NC 27608-1411
(919) 815-4748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016289
NC
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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