Organization
COMMUNITY SUPPORT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE DELLA KENION RN (DIRECTOR)
(910) 763-3644
Entity
Organization
Contact information
Practice address
1316 S 16TH ST, WILMINGTON, NC 28401-6422
(910) 763-3644
(910) 763-3634
Mailing address
1316 S 16TH ST, WILMINGTON, NC 28401-6422
(910) 763-3644
(910) 763-3634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
05/18/2010
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