Provider Information for 1841790151
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CARLEY HEATHER ROTHSTEIN LCSW
Sex: Female
NPI: 1841790151
Last Updated: 2022-07-13
Certification Date: 2022-07-13
Certification Date: 2022-07-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841790151 | ||||||||
| Enumeration Date | 2018-02-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5306 NC HIGHWAY 55 STE 105 DURHAM, NC 27713-7812 United States Phone: 704-874-1900 | Fax:704-864-7608 | ||||||||
| Primary Practice Address | 5306 NC HIGHWAY 55 STE 105 DURHAM, NC 27713-7812 United States Phone: 919-457-1517 | Fax:919-363-7697 | ||||||||
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