Individual
DIANE BULLARD SUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4130 OLEANDER DRIVE, SUITE 100, WILMINGTON, NC 28403-6844
(910) 794-3929
(910) 798-2303
Mailing address
1002 AVENSHIRE CIR, WILMINGTON, NC 28412-5132
(910) 471-2322
(910) 798-2303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007903
NC
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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