Individual
CAROLYN CORDASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 BROAD ST, DURHAM, NC 27705-4833
(919) 433-1491
Mailing address
300 COMPTON RD, RALEIGH, NC 27609-5919
(919) 683-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003368
—
NC
Enumeration date
07/08/2006
Last updated
07/08/2007
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