Individual
CHRISTINE WASSMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 212-7528
(919) 250-3943
Mailing address
3000 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 212-7528
(919) 250-3943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003670
—
NC
01
—
85652
BCBS
NC
Enumeration date
09/28/2006
Last updated
07/08/2007
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