Organization
A SU LADO THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GOFORTH SIMPSON LCSW (OWNER/ORGANIZER)
(980) 355-1429
Entity
Organization
Contact information
Practice address
818 S MAIN ST STE A, KANNAPOLIS, NC 28081-4918
(704) 727-6226
(877) 940-3260
Mailing address
1050 CAMBROOK CT, CONCORD, NC 28027-0504
(980) 355-1429
(877) 940-3260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/12/2024
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