Individual
MR. E DEVAULT CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 GRANT ST, WEST END, NC 27376
(910) 673-3535
Mailing address
3125 POPLARWOOD CT, SUITE 300, RALEIGH, NC 27604-1084
(919) 790-8580
(919) 341-0231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185339
MED COST
NC
01
—
22990
BCBS
NC
05
—
6002228
—
NC
Enumeration date
02/26/2007
Last updated
02/18/2011
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