Individual
DENISE BOSTICK-FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501A WESTWOOD WAY, LAURINBURG, NC 28352-3459
(910) 361-4522
(910) 361-4759
Mailing address
PO BOX 2425, LAURINBURG, NC 28353-2425
(910) 361-4522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010965
NC
Other
Enumeration date
06/23/2015
Last updated
11/22/2019
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