Individual
MRS. ANITA MATTHEWS MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 CHATHAM ST, SANFORD, NC 27330-4801
(919) 777-0214
Mailing address
105 PORTER DR, ERWIN, NC 28339-9752
(910) 890-6823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0001858
NC
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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