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Individual

REGINA CROWDER-GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBA/MSW, RN

Contact information

Practice address
500 SCHOOL CIR, HARRISBURG, NC 28075-9610
(704) 455-1762
(704) 455-1760
Mailing address
PO BOX 865, HARRISBURG, NC 28075-0865
(704) 455-1764
(704) 455-1760

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C013881
NC
163W00000X
Registered Nurse
297482
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017401
NC

Other

Enumeration date
11/19/2021
Last updated
01/05/2023
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