Individual
MRS. DONIELLE MARIA PREUSSER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
313 WALNUT ST, SUITE 111, WILMINGTON, NC 28401-4063
(910) 815-6699
(910) 343-4227
Mailing address
313 WALNUT ST, SUITE 111, WILMINGTON, NC 28401-4063
(910) 815-6699
(910) 343-4227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1340T
BLUE CROSS BLUE SHIELD
NC
05
—
6002695
—
NC
Enumeration date
05/27/2006
Last updated
07/09/2007
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