| Composed Life Services, Pllc | |
|
810 Iredell St Durham NC 27705-4120 | |
| (919) 286-3060 | |
| (919) 416-3711 |
| Full Name | Composed Life Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 810 Iredell St, Durham, North Carolina |
| Authorized Official Name and Position | Marian Read Place (OWNER) |
| Authorized Official Contact | 9192863060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Composed Life Services, Pllc 810 Iredell St Durham NC 27705-4120 Ph: (919) 286-3060 | Composed Life Services, Pllc 810 Iredell St Durham NC 27705-4120 Ph: (919) 286-3060 |
| NPI Number | 1518114503 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518114503 | NPI | - | NPPES |
| 1649314105 | Other | NC | NPI FOR MARIAN R. PLACE, LCSW AS AN INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002804 (North Carolina) | Primary |
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