Individual
MR. DEREK SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
469 FOREST LAKE CIR, KERNERSVILLE, NC 27284-9371
(336) 813-3404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P008779
NC
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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