Individual
DANETTE BARBOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253674
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
04/30/2018
Last updated
12/11/2019
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