Individual
ELIZABETH NICHOLAIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 W. MILLBROOK ROAD, SUITE 109, RALEIGH, NC 27609
(919) 845-9977
(919) 845-9761
Mailing address
4708 BLACK MOUNTAIN PATH, RALEIGH, NC 27612
(919) 845-9977
(919) 845-9761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C004918
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003272
—
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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