Individual
AUDREY DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
(910) 787-1282
Mailing address
410 ANDERSON ST, WILMINGTON, NC 28401-4210
(910) 787-1282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NC
1041C0700X
Clinical Social Worker
Primary
P014091
NC
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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