Individual
ANNA JONGKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 BARRETT DR, RALEIGH, NC 27609-7220
(919) 977-0117
Mailing address
704 BIRKDALE DR, CLAYTON, NC 27527-8880
(919) 801-7599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017931
NC
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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