GEOFFREY BENJAMIN VAN WAVEREN

CONCORD, NC
NPI1750358651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NC  C002386)
Enumeration Date2006-03-01
Last Update Date2023-12-18
Business Address
GEOFFREY BENJAMIN VAN WAVEREN LCSW
380 COPPERFIELD BLVD NE
CONCORD, NC 28025-2402
Phone number: 704-403-1800
Mailing Address
GEOFFREY BENJAMIN VAN WAVEREN LCSW
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: