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Individual

MS. BRENDA ROBINSON WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS

Contact information

Practice address
212 LE PHILLIP CT, SUITE 106, CONCORD, NC 28025-2984
(704) 782-3004
Mailing address
2677 SADDLEWOOD CIR SW, CONCORD, NC 28027-1018
(704) 786-6817

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1074
NC
1041C0700X
Clinical Social Worker
Primary
C000781
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106476
NC
Enumeration date
02/13/2007
Last updated
08/08/2007
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