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Cordelia Johnson Chavis, LCSW

Social Worker, Clinical in Lumberton, NC. Individual provider (NPI-1).

NPI number1982249298
StatusActive
Last updated in NPPESNov 1, 2023

Details

NPI
1982249298
Entity type
Individual (NPI-1)
Name
Cordelia Johnson Chavis
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 11, 2019
Certification date
Nov 1, 2023
Last updated
Nov 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC016203NCYes

Practice location

220 Wintergreen Dr Ste F
Lumberton, NC 28358-2188

Phone 910-536-0581

Mailing address

7250 Sandcastle Ln
Linden, NC 28356-9437

Phone 833-846-3463 · Fax 855-510-6746

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