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Individual

MR. DAN ROSS EARNEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C-004245
NC
1041C0700X
Clinical Social Worker
C-004252
NC
1041C0700X
Clinical Social Worker
Primary
C004252
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13607
BCBS NC
NC
05
6003432
NC
05
6003462
NC
01
61-00151
EVERCARE
Enumeration date
01/31/2006
Last updated
01/14/2025
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