Individual
CUMI TALITHA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273-4179
(980) 302-8850
(704) 316-8118
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008689
NC
Other
Enumeration date
08/28/2014
Last updated
11/28/2023
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