Individual
SHIRLEY JEAN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
619 SULLIVAN RD, STATESVILLE, NC 28677-3437
(704) 871-0934
(704) 402-1065
Mailing address
619 SULLIVAN RD, STATESVILLE, NC 28677-3437
(704) 871-0934
(704) 402-1065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-20954
NC
Other
Enumeration date
04/16/2019
Last updated
07/11/2022
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