Jon Wayne Eccleston II LCSW

NPI 1306937750 - Social Worker - 1041C0700X

NPI Details
NPI 1306937750
Gender Male
Enumeration Date 09/28/2006
Last Updated 09/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
124 UNIONVILLE INDIAN TRL RD W
SUITE A1
INDIAN TRAIL NC, 28079-5591, US
Phone (704) 608-0445
Fax (704) 821-9337
Business Location
124 UNIONVILLE INDIAN TRL RD W
SUITE A1
INDIAN TRAIL NC, 28079-5591, US
Phone (704) 608-0445
Fax (704) 821-9337
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C004734
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According to our database, Mr. Jon Wayne Eccleston II LCSW NPI is 1306937750, taxonomy code is 1041C0700X and license number is C004734, license state is located at North Carolina. Jon Wayne Eccleston II LCSW physically located at 124 Unionville Indian Trl Rd W, Indian Trail NC, 28079-5591. NPI Number Jon Wayne Eccleston II LCSW has the Individual type.

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1306937750 NPI number is provided on an as is basis without warranty of any kind. 1306937750 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Wayne Eccleston II LCSW are for informational purposes only.