Organization
AMY CLECKLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R CLECKLER MPH, MSW, LCSW (LICENSEND CLINICAL SOCIAL WORKER)
(919) 943-0405
Entity
Organization
Contact information
Practice address
809 NORTH ST, DURHAM, NC 27701-2210
(919) 943-0405
Mailing address
809 NORTH ST, DURHAM, NC 27701-2210
(919) 943-0405
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
C006034
NC
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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