| Deirdre W. Street, Llc | |
|
6209 Oleander Dr Suite 102-2 Wilmington NC 28403-3581 | |
| (910) 233-0052 | |
| Not Available |
| Full Name | Deirdre W. Street, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6209 Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Deirdre W Street (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9102330052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre W. Street, Llc 6209 Oleander Dr Suite 102-2 Wilmington NC 28403-3581 Ph: (910) 233-0052 | Deirdre W. Street, Llc 6209 Oleander Dr Suite 102-2 Wilmington NC 28403-3581 Ph: (910) 233-0052 |
| NPI Number | 1821346313 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821346313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007674 (North Carolina) | Primary |
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