Individual
DANIELLE DESTICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 EASTOWNE DR STE 220, CHAPEL HILL, NC 27514-6224
(919) 408-3212
Mailing address
519 HIGH RIDGE DR, DURHAM, NC 27707-3985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012782
NC
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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