Organization
DEIRDRE W. STREET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE W STREET LCSW (LICENSED CLINICAL SOCIAL WORKER)
(910) 233-0052
Entity
Organization
Contact information
Practice address
6209 OLEANDER DR, SUITE 102-2, WILMINGTON, NC 28403-3581
(910) 233-0052
Mailing address
6209 OLEANDER DR, SUITE 102-2, WILMINGTON, NC 28403-3581
(910) 233-0052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007674
NC
Other
Enumeration date
08/15/2012
Last updated
07/13/2016
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