Julie Daul Lcsw, Pllc | |
35 Thompson St Pittsboro NC 27312-5773 | |
(919) 542-6183 | |
Not Available |
Full Name | Julie Daul Lcsw, Pllc |
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Speciality | Social Worker |
Location | 35 Thompson St, Pittsboro, North Carolina |
Authorized Official Name and Position | Julie Daul (PSYCHOTHERAPIST) |
Authorized Official Contact | 9195426183 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Julie Daul Lcsw, Pllc Po Box 802 Pittsboro NC 27312-0802 Ph: () - | Julie Daul Lcsw, Pllc 35 Thompson St Pittsboro NC 27312-5773 Ph: (919) 542-6183 |
NPI Number | 1194490805 |
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Provider Enumeration Date | 08/13/2021 |
Last Update Date | 08/13/2021 |
Certification Date | 08/13/2021 |
Medicare PECOS PAC ID | 4981009404 |
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Medicare Enrollment ID | O20210823000583 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194490805 | NPI | - | NPPES |
6106037 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Julie C Daul |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932210499 PECOS PAC ID: 2062454762 Enrollment ID: I20050524000069 |
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