Individual
CIERRA SHANNON WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSWA
Contact information
Practice address
608 W JOHNSON ST STE 5, RALEIGH, NC 27603-1242
(919) 986-0460
(919) 573-0438
Mailing address
7406 CHAPEL HILL RD STE J, RALEIGH, NC 27607-5039
(919) 986-0460
(919) 573-0438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013725
NC
Other
Enumeration date
01/04/2021
Last updated
01/08/2021
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