Individual
ASIA D CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 NASH ST NW, WILSON, NC 27896-1127
(252) 206-5799
Mailing address
3709 NASH ST NW, WILSON, NC 27896-1127
(252) 206-5799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26238
NC
1041C0700X
Clinical Social Worker
P014615
NC
Other
Enumeration date
10/26/2020
Last updated
11/25/2020
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