Individual
MRS. BETHANIA RORIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
510 SYLVAN ST, SHALLOTTE, NC 28470-1773
(910) 884-5010
Mailing address
510 SYLVAN ST, SHALLOTTE, NC 28470-1773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106301
—
NC
Enumeration date
11/15/2006
Last updated
06/23/2014
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