Individual
MS. CHARMETRI AVERIOUS WRICE-BULLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW P-LCSW
Contact information
Practice address
2905 BREEZEWOOD AVE, SUITE 104, FAYETTEVILLE, NC 28303-5503
(910) 483-2183
Mailing address
3512 LIONEL LN, FAYETTEVILLE, NC 28311-2092
(910) 488-7682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P006741
NC
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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