Individual
MRS. GINA POWELL PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
7011 WINTER GARDEN DR, CONCORD, NC 28025-1631
(704) 877-1920
Mailing address
7011 WINTER GARDEN DR, CONCORD, NC 28025-1631
(704) 877-1920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A8474
NC
Other
Enumeration date
12/18/2010
Last updated
02/11/2021
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