Individual
ALICIA LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
10001 OLD CONCORD ROAD, CHARLOTTE, NC 28213
(704) 547-1483
(704) 547-0052
Mailing address
PO BOX 568, NEWELL, NC 28126-0568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C006911
NC
1041C0700X
Clinical Social Worker
Primary
C006911
NC
Other
Enumeration date
04/20/2011
Last updated
05/09/2013
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