Individual
TEASSA EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P009682
NC
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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