Individual
ANDREA AGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
Mailing address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 526-8173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018904
NC
Other
Enumeration date
03/04/2024
Last updated
04/23/2024
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