Individual
DEJA D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 TRINITY RD, CHARLOTTE, NC 28216-1951
(704) 957-0209
Mailing address
9300 TRINITY RD, CHARLOTTE, NC 28216-1951
(704) 957-0209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018685
NC
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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