Individual
KALITA MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303435
—
NC
01
—
C010654
NORTH CAROLINA SOCIAL WORK BOARD
NC
Enumeration date
01/06/2015
Last updated
12/02/2020
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