Individual
CORDELIA JOHNSON CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 WINTERGREEN DR STE F, LUMBERTON, NC 28358-2188
(910) 536-0581
Mailing address
7250 SANDCASTLE LN, LINDEN, NC 28356-9437
(833) 846-3463
(855) 510-6746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016203
NC
Other
Enumeration date
11/11/2019
Last updated
11/01/2023
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