Individual
ALISSA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-7262
(919) 714-7500
Mailing address
142 KNIGHTS BRIDGE DR, CLAYTON, NC 27520-5408
(410) 935-2479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019147
NC
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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