DOMINIQUEA EDMISTON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1619618212
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 18434 (AZ) |
| Social Worker - Clinical | 1041C0700X | Yes | 20424 (AZ) |
Frequently Asked Questions
NPI 1619618212 is the National Provider Identifier for DOMINIQUEA EDMISTON, LCSW, a Social Worker - Clinical provider located in Statesville, NC. This NPI was enumerated on April 6, 2022.
DOMINIQUEA EDMISTON, LCSW practices at 806 PHILLIPS LN, Statesville, NC 28625.
Quick Facts
- NPI
- 1619618212
- Type
- Individual
- Enumerated
- Apr 6, 2022
- Last Updated
- Aug 4, 2024
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