Individual
AISHAH RENEE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
(866) 338-5921
Mailing address
419 TYLER TRAIL CT APT 222, CHARLOTTE, NC 28262-3393
(770) 895-7580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011394
NC
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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