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Organization

EVOLVING TO INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALLIE BUCKNER (PRESIDENT, OWNER)
(704) 936-8634
Entity
Organization

Contact information

Practice address
3515 DAVID COX RD UNIT 480682, CHARLOTTE, NC 28269-2505
(704) 936-8634
Mailing address
6621 MERIDALE FOREST DR, CHARLOTTE, NC 28269-3647

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251B00000X
Case Management Agency

Other

Enumeration date
03/24/2026
Last updated
03/24/2026
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