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Individual

MRS. ANDREA EAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
353 W 2ND ST, CLAYTON, NC 27520-2336
(919) 271-0135
(888) 503-6822
Mailing address
28 TWO DOES DR., CLAYTON, NC 27520
(919) 271-0135
(888) 503-6822

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004198
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141C3
BCBS INDIVIDUAL
NC
05
6003393
NC
Enumeration date
05/15/2006
Last updated
09/13/2012
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