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Organization
PATHWAYSMHDDSA
Active
Organization
PATHWAYSMHDDSA
Active
Other names
Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH ANN LATTIMORE LCSW (CRISIS CLINICAL SPECIALIST)
(704) 476-4010
Entity
Organization
Contact information
Practice address
901 S NEW HOPE RD, GASTONIA, NC 28054-5829
(704) 884-2051
(704) 669-2017
Mailing address
901 S NEW HOPE RD, GASTONIA, NC 28054-5829
(704) 884-2051
(704) 669-2017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106220
—
NC
01
—
C001397
SOCIAL WORKER
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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