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Organization
NEWLIFE COUNSELING AND CONSULTATION, PLLC
Active
Organization
NEWLIFE COUNSELING AND CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA L HAYWARD LCSW (EXECUTIVE DIRECTOR)
(704) 727-6297
Entity
Organization
Contact information
Practice address
17105 KENTON DR, SUITE 205C, CORNELIUS, NC 28031-5653
(704) 727-6297
Mailing address
17105 KENTON DR, SUITE 205C, CORNELIUS, NC 28031-5653
(704) 727-6297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009419
NC
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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