Individual
ALICE L CANUP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Mailing address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 365-7777
(704) 365-9256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C002378
NC
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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