Individual
CASA WOODBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 FARMINGTON DR, RICHLANDS, NC 28574-7453
(540) 446-3291
Mailing address
129 FARMINGTON DR, RICHLANDS, NC 28574-7453
(540) 446-3291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012568
NC
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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