Michelle Dattada, Lcsw, Pllc
NPI #1134488836 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1134488836
- Entity Type
- Organization
- Organization Name
- Michelle Dattada, Lcsw, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 15, 2012
- Last Updated
- May 15, 2012
Practice Location
- Address
- 992 DURHAM RD STE A
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6590
- Phone
- (732) 485-3956
Authorized Official
- Name
- MRS. MICHELLE ANN DATTADA, LCSW
- Title
- OWNER
- Phone
- (732) 485-3956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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