Individual
AMANDA PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
363 CHURCH ST N, SUITE 200, CONCORD, NC 28025-4589
(704) 262-1348
Mailing address
109 PENNY ST, ALBEMARLE, NC 28001-2803
(704) 985-1178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009261
NC
1041C0700X
Clinical Social Worker
P007219
NC
Other
Enumeration date
07/15/2014
Last updated
04/15/2015
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