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Individual

CORINNA IRA ARCHIEMCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3635 MANOR HOUSE DR, CHARLOTTE, NC 28270-2291
(704) 718-8657
Mailing address
2061 LENNOX SQUARE RD, CHARLOTTE, NC 28210-9459
(704) 777-8887

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018183
NC

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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