Individual
LILY HACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2813 COLTSGATE RD STE 200, CHARLOTTE, NC 28211-3585
(704) 362-3123
Mailing address
416 CASTLESTONE LN, MATTHEWS, NC 28104-7239
(810) 626-8329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P022403
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/08/2021
Last updated
07/24/2025
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