Individual
MS. ALICEINGEBORG STOLL FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 S. WASHINGTON ST., KALEIDOSCOPE COUNSELING SVC, HENDERSONVILLE, NC 28739-4962
(828) 692-2653
(828) 692-2627
Mailing address
104 S. WASHINGTON ST., KALEIDOSCOPE COUNSELING SVC, HENDERSONVILLE, NC 28739-4962
(828) 692-2653
(828) 692-2627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
COO5758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2853400
MCARE
NC
05
—
6007347
—
NC
Enumeration date
09/07/2007
Last updated
05/20/2010
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