Individual
GEORGIA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. , CADC
Contact information
Practice address
6115 HICKORY GROVE RD, CHARLOTTE, NC 28215-4207
(704) 532-4262
Mailing address
6115 HICKORY GROVE RD, CHARLOTTE, NC 28215-4207
(704) 532-4262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23125
NC
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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