Individual
ANNIE GRANT LEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
322 LAMAR AVE STE 208, CHARLOTTE, NC 28204-2436
(336) 944-1450
Mailing address
2537 CRANBROOK LN, CHARLOTTE, NC 28207-2001
(336) 944-1450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26559
NC
1041C0700X
Clinical Social Worker
Primary
C015301
NC
Other
Enumeration date
06/24/2020
Last updated
12/16/2023
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