Individual
MS. ANTONIA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
(336) 694-9331
(336) 694-7511
Mailing address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
(336) 694-9331
(336) 694-7511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007747
NC
1041C0700X
Clinical Social Worker
CSW002067
GA
Other
Enumeration date
07/30/2006
Last updated
10/04/2022
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