Individual
ADIA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 366-8712
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-0554413
ALEXANDER YOUTH NETWORK
—
Enumeration date
01/21/2015
Last updated
01/21/2015
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