Individual
DEIDRA CRIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 865-1558
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12048
NC
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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