Provider Demographics
NPI:1932753134
Name:DOBSON, TIA LATRINDA (MSW,LCSWA)
Entity Type:Individual
Prefix:
First Name:TIA
Middle Name:LATRINDA
Last Name:DOBSON
Suffix:
Gender:F
Credentials:MSW,LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7226 PEPPERCORN CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-1031
Mailing Address - Country:US
Mailing Address - Phone:910-508-1276
Mailing Address - Fax:
Practice Address - Street 1:330 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-1837
Practice Address - Country:US
Practice Address - Phone:910-508-1276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical