Individual
MRS. CARRIE M HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19824 W CATAWBA AVE, SUITE 204, CORNELIUS, NC 28031-4046
(704) 641-4515
Mailing address
19824 W CATAWBA AVE, SUITE 204, CORNELIUS, NC 28031-4046
(704) 641-4515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004960
NC
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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