Individual
DAVID FAFORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-A
Contact information
Practice address
8936 GLADE SPRING LN, CHARLOTTE, NC 28216-8889
(202) 468-6414
Mailing address
8936 GLADE SPRING LN, CHARLOTTE, NC 28216-8889
(202) 468-6414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P-007051
NC
Other
Enumeration date
11/05/2012
Last updated
11/06/2012
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