Male or Other

Mr. William Mccullough LCSW

Clinical Social Worker in Shelby, NC(View on Map)

Full Name

Mr. William Mccullough LCSW

NPI Number

1801109483

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/23/2010

Specialties

(Taxonomies)

Code

1041C0700X
1041S0200X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

C001521

Contact
Information

Purpose

Mailing
Location

Address

315 PATTON DR
315 PATTON DR

City

Shelby
Shelby

State

NC
NC

Postal Code

28150-5429
28150-5429

Country

US
US

Telephone Number

N/A
(704) 476-8078

Identifiers

Identifier

3690538

Identifier State

NC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/23/2010

Provider Address

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