Making A Difference Community Support Inc | |
104 W Water St Plymouth NC 27962-1306 | |
(252) 793-2823 | |
(252) 793-4139 |
Full Name | Making A Difference Community Support Inc |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 104 W Water St, Plymouth, North Carolina |
Authorized Official Name and Position | Orlando Small (DESIGNEE) |
Authorized Official Contact | 9199312225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Making A Difference Community Support Inc 49 Mackeys Rd Plymouth NC 27962-9609 Ph: () - | Making A Difference Community Support Inc 104 W Water St Plymouth NC 27962-1306 Ph: (252) 793-2823 |
NPI Number | 1598089203 |
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Provider Enumeration Date | 03/24/2010 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
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1598089203 | NPI | - | NPPES |
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