Individual
VANIA WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
801 EAST MOREHEAD STREET, SUITE 105 #3138, CHARLOTTE, NC 28202
(803) 792-7071
Mailing address
12220 PALLADIUM RIDGE LN APT 202, CHARLOTTE, NC 28273-7426
(864) 764-5643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PO18663
NC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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