Individual
CAMILLA BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25176
NC
1041C0700X
Clinical Social Worker
Primary
P012237
NC
Other
Enumeration date
11/13/2018
Last updated
03/20/2019
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