JAZZ ALICE BEACH MSW, LCSWA
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1518427194- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW, LCSWA
- Status
- Active
Contact & Location
- Address
- 615 SHIPYARD BLVD, WILMINGTON, NC, 284126431
- Phone
- (910) 343-0145
- Fax
- (910) 202-9966
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NC #P011443