Individual
JIAH K. WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2457 GUM BRANCH RD UNIT 800, JACKSONVILLE, NC 28540-4008
(910) 939-0836
(910) 634-1026
Mailing address
114 SHAMROCK DR, JACKSONVILLE, NC 28540-4061
(720) 271-2836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P021791
NC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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