Individual
CHERYL VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4555 OGBURN AVE, WINSTON SALEM, NC 27105-2726
(910) 582-7915
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016393
NC
1041C0700X
Clinical Social Worker
P0916393
NC
Other
Enumeration date
01/29/2022
Last updated
08/25/2022
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