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Individual

MRS. BRIDGET DIANE REBELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
500 E MOREHEAD ST STE 104, CHARLOTTE, NC 28202-2620
(704) 334-8829
Mailing address
500 E MOREHEAD ST STE 104, CHARLOTTE, NC 28202-2620
(704) 334-8829

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006985
NC

Other

Enumeration date
03/11/2012
Last updated
04/10/2012
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