Individual
ANNIE ELIZABETH VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 N GREEN ST, STATESVILLE, NC 28677-5375
(704) 766-6772
(704) 626-3349
Mailing address
3783 GORDON ST, TERRELL, NC 28682-9730
(704) 677-6772
(704) 626-3349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C007697
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6009095
—
NC
Enumeration date
08/13/2008
Last updated
03/17/2018
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