| Michelle Dattada, Lcsw, Pllc | |
|
992 Durham Rd Ste A Wake Forest NC 27587-6590 | |
| (732) 485-3956 | |
| Not Available |
| Full Name | Michelle Dattada, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 992 Durham Rd Ste A, Wake Forest, North Carolina |
| Authorized Official Name and Position | Michelle Ann Dattada (OWNER) |
| Authorized Official Contact | 7324853956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dattada, Lcsw, Pllc 1404 Lagerfeld Way Wake Forest NC 27587 Ph: (732) 485-3956 | Michelle Dattada, Lcsw, Pllc 992 Durham Rd Ste A Wake Forest NC 27587-6590 Ph: (732) 485-3956 |
| NPI Number | 1134488836 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134488836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007061 (North Carolina) | Primary |
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