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Organization
PIEDMONT THERAPEUTICS, PLLC
Active
Organization
PIEDMONT THERAPEUTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAJORS ETHRIDGE MSW, LCSW (CO-OWNER)
(980) 689-0778
Entity
Organization
Contact information
Practice address
321 EAST BLVD APT 3, CHARLOTTE, NC 28203-4815
(980) 689-0778
Mailing address
321 EAST BLVD APT 3, CHARLOTTE, NC 28203-4815
(980) 689-0778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538597331
—
NC
05
—
1871921494
—
NC
Enumeration date
10/16/2018
Last updated
11/07/2018
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