Individual
ANNE O BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 SOUTHGATE RD, WILMINGTON, NC 28412-1934
(910) 399-4538
(910) 228-5399
Mailing address
221 SOUTHGATE RD, WILMINGTON, NC 28412-1934
(910) 399-4538
(910) 228-5399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002035
—
NC
Enumeration date
09/15/2006
Last updated
01/18/2012
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