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Organization
WALGREN COUNSELING, PLLC
Active
Organization
WALGREN COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY WALGREN MSW LCSW (OWNER)
(704) 443-0144
Entity
Organization
Contact information
Practice address
3021 SENNA DR STE B, MATTHEWS, NC 28105-6727
(704) 443-0144
(313) 692-6033
Mailing address
3021 SENNA DR STE B, MATTHEWS, NC 28105-6727
(704) 443-0144
(313) 692-6033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007670
—
NC
01
—
A150
MEDICARE PTAN
NC
Enumeration date
05/17/2011
Last updated
06/19/2019
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