Individual
MRS. ANDREA KRISTIN PERKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
309 PROGRESS DR, BURGAW, NC 28425-3280
(910) 259-0668
(910) 202-9966
Mailing address
128 PLOW POINT LN, JACKSONVILLE, NC 28546-9591
(309) 613-8016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014709
NC
Other
Enumeration date
07/15/2020
Last updated
01/27/2021
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