| De'voncia Lachel Mickins, | |
|
104 E Old Us 74/76, Lake Waccamaw, NC 28450-1927 | |
| (252) 521-0773 | |
| Not Available |
| Full Name | De'voncia Lachel Mickins |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 104 E Old Us 74/76, Lake Waccamaw, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992383103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P015383 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| De'voncia Lachel Mickins, 855 Old Homestead Rd, Kinston, NC 28504-6854 Ph: (252) 521-0773 | De'voncia Lachel Mickins, 104 E Old Us 74/76, Lake Waccamaw, NC 28450-1927 Ph: (252) 521-0773 |
Mrs. Stephanie Anne Tucker, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Flemington Drive, Lake Waccamaw, NC 28450 Phone: 910-646-3083 | |
Danielle Nicole Poteat, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Flemington Dr, Lake Waccamaw, NC 28450 Phone: 704-718-8914 | |
Emily Suzanne Mcfarland, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Flemington Dr, Lake Waccamaw, NC 28450 Phone: 910-646-3083 | |
Bethany Marie Hart, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Flemington Dr., Lake Waccamaw, NC 28450 Phone: 910-646-3083 | |
Amy Lawson Richardson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 E Old Highway 74 76, Lake Waccamaw, NC 28450 Phone: 910-646-3083 |