Individual
ALICKE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 MAXWELL ST, FAYETTEVILLE, NC 28301-5592
(781) 966-5700
Mailing address
159 MAXWELL ST, FAYETTEVILLE, NC 28301-5592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012852
NC
Other
Enumeration date
09/12/2017
Last updated
08/19/2019
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