Individual
DELIA HEARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW OR LICSW PIP
Contact information
Practice address
100 VILLAGE CIRCLE WAY APT 216, DURHAM, NC 27713-6131
(360) 813-5623
Mailing address
100 VILLAGE CIRCLE WAY APT 216, DURHAM, NC 27713-6131
(360) 813-5623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1630-4514C
AL
1041C0700X
Clinical Social Worker
Primary
C013455
NC
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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