Individual
DANIEL DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 GROSBEAK LN, CHARLOTTE, NC 28269-0678
(336) 991-8700
Mailing address
2800 GROSBEAK LN, CHARLOTTE, NC 28269-0678
(336) 991-8700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010651
NC
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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