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Individual

ANDREA ELIZABETH DISCEPOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSWA

Contact information

Practice address
962 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6591
(336) 501-7295
Mailing address
962 S FAYETTEVILLE ST, ASHEBORO, NC 27203-6591

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P008290
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7295
NC
Enumeration date
07/19/2013
Last updated
07/19/2013
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