Individual
DIMICA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
Mailing address
932 HEARTHRIDGE CT APT A, RALEIGH, NC 27609-9004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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