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Organization
ISAIAH COUNSELING & WELLNESS PLLC
Active
Organization
ISAIAH COUNSELING & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTAL M ISAIAH LCSW (OWNER)
(704) 965-2364
Entity
Organization
Contact information
Practice address
1914 BRUNSWICK AVE, SUITE 1B, CHARLOTTE, NC 28207-2808
(704) 910-2055
Mailing address
PO BOX 29158, CHARLOTTE, NC 28229-9158
(704) 965-2364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005180
NC
Other
Enumeration date
07/07/2010
Last updated
08/06/2022
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