Doctor Name: | MRS. EMILY SWANK |
NPI Number: | 1255697595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | C007847 |
Business Practice Address: | 803 S Walker St Burgaw, NC - 284255001 |
Business Phone Number: | 9102590668 |
Business Fax Number: | 9102594526 |
Mailing Address: | 7322 Rabbit Hollow Dr, WILMINGTON |
State: | NC |
Postal Code: | 284117412 |
Phone Number: | 3155210781 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C007847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |