Individual
CARLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 S OAKLAND ST, GASTONIA, NC 28052-4312
(704) 874-9005
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013874
NC
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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