Individual
AMELIA COONROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 WHITE DR, COLUMBUS, NC 28722
(828) 894-2290
Mailing address
94 WHITE DR, COLUMBUS, NC 28722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P010689
—
NC
Enumeration date
09/01/2016
Last updated
09/01/2016
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