Individual
MR. CHARLES CHADBOURNE MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
5013 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7045
(910) 796-6868
(910) 796-6869
Mailing address
401B CHARLOTTE AVE, CAROLINA BEACH, NC 28428-5018
(910) 777-9440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010239
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
07/23/2013
Last updated
01/12/2016
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