Individual
QUADASHA D MCILWAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW-CP
Contact information
Practice address
648 S JONES AVE STE B, ROCK HILL, SC 29730-5841
(704) 909-1000
Mailing address
3824 PIMILICO TRACE LN, CHARLOTTE, NC 28216-7803
(704) 909-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013792
NC
Other
Enumeration date
05/12/2021
Last updated
03/08/2023
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