| Prosource Therapeutics | |
|
2920 Trent Rd New Bern NC 28562-2030 | |
| (252) 672-8806 | |
| Not Available |
| Full Name | Prosource Therapeutics |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2920 Trent Rd, New Bern, North Carolina |
| Authorized Official Name and Position | Felicia Smith (OWNER) |
| Authorized Official Contact | 2523537025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosource Therapeutics 102 Fox Haven Dr Ste A Greenville NC 27858-9720 Ph: (252) 353-7028 | Prosource Therapeutics 2920 Trent Rd New Bern NC 28562-2030 Ph: (252) 672-8806 |
| NPI Number | 1659530145 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659530145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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