Elizabeth Detweiler, LCAS, LCSW
Social Worker, Clinical in Wake Forest, NC. Individual provider (NPI-1).
NPI number1306992193
StatusActive
Last updated in NPPESAug 15, 2010
Details
- NPI
- 1306992193
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Detweiler
- Credential
- LCAS, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2007
- Last updated
- Aug 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C006918 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1413 | NC |
Practice location
839 Wake Forest Business Park Ste CWake Forest, NC 27587-7335
Phone 919-622-5776
Mailing address
Po Box 1171Wake Forest, NC 27588-1171
Phone 919-622-5776
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