Individual
CHARLES WESLEY MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 W CENTRAL ST, MAXTON, NC 28364-1703
(910) 844-2267
(910) 401-1083
Mailing address
PO BOX 1004, LUMBERTON, NC 28359-1004
(910) 844-2267
(910) 401-1083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015806
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932304714
—
NC
Enumeration date
03/10/2021
Last updated
03/10/2021
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