Individual
AIVLYS MARIE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9414
(704) 384-5735
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C014712
NC
1041C0700X
Clinical Social Worker
Primary
P013723
NC
Other
Enumeration date
07/08/2019
Last updated
04/25/2025
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