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Organization
SOUTHLAKE COUNSELING & CONSULTING
Active
Organization
SOUTHLAKE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY B KRUEGER MSW, LCSW (DIRECTOR)
(704) 896-7776
Entity
Organization
Contact information
Practice address
903 NORTHEAST DR STE 201, DAVIDSON, NC 28036-7438
(704) 896-7776
(704) 896-0992
Mailing address
903 NORTHEAST DR STE 201, DAVIDSON, NC 28036-7438
(704) 896-7776
(704) 896-0992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002362
NC
1041C0700X
Clinical Social Worker
C004574
NC
1041C0700X
Clinical Social Worker
C005510
NC
Other
Enumeration date
02/06/2007
Last updated
06/23/2009
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