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Individual

CHRISTOPHER TOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5505 CREEDMOOR RD, RALEIGH, NC 27612-6352
(919) 852-5352
(919) 852-5323
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005956
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106868
NC
Enumeration date
02/13/2008
Last updated
04/16/2009
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