Prosource Therapeutics, Llc | |
7356 Us Highway 64 Robersonville NC 27871-9073 | |
(252) 353-7025 | |
(252) 353-7028 |
Full Name | Prosource Therapeutics, Llc |
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Speciality | Social Worker - Clinical |
Location | 7356 Us Highway 64, Robersonville, North Carolina |
Authorized Official Name and Position | Phyllis Smith (ADMINISTRATOR) |
Authorized Official Contact | 2523537025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prosource Therapeutics, Llc 102 Fox Haven Dr #a Greenville NC 27858-9720 Ph: (252) 353-7025 | Prosource Therapeutics, Llc 7356 Us Highway 64 Robersonville NC 27871-9073 Ph: (252) 353-7025 |
NPI Number | 1578799664 |
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Provider Enumeration Date | 06/03/2009 |
Last Update Date | 06/03/2009 |
Identifier | Type | State | Issuer |
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1578799664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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