Individual
ELIZABETH RICHARDSON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6324 FAIRVIEW RD STE 310, CHARLOTTE, NC 28210-4172
(980) 302-8680
(980) 302-8681
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-8680
(980) 302-8681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2003-C
AR
1041C0700X
Clinical Social Worker
Primary
C012129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033-C
SOCIAL WORK LICENSE
AR
01
—
C012129
SOCIAL WORK LICENSE
NC
Enumeration date
01/27/2021
Last updated
01/31/2022
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