is a Clinical in Charlotte, North Carolina. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1629020805. The last update date is .
's current location address is 1717 Cleveland Ave, Charlotte, North Carolina. You can contact this provider via phone number 7043344300 and fax number 7043348639. The mailing address for is 1717 Cleveland Ave, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1717 Cleveland Ave, Charlotte, North Carolina |
| Phone Number | 7043344300 |
| Fax Number | 7043348639 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629020805 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1717 Cleveland Ave |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282034735 |
| Phone Number | 7043344300 |
| Fax Number | 7043348639 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004732 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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