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Individual

AISHA SERENE CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5855 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212-8883
(704) 537-1202
Mailing address
3604 HENNESSY PL, CHARLOTTE, NC 28210-4601
(253) 304-8164

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012554
NC

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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