Individual
CHANON VANICE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
3505 VILLAGE DR, FAYETTEVILLE, NC 28304-4513
(910) 615-3737
(910) 615-9899
Mailing address
3505 VILLAGE DR, FAYETTEVILLE, NC 28304-4513
(910) 615-3737
(910) 615-9899
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P011590
NC
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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