Individual
CODY PEARSALL
Active
Individual
CODY PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NC
1041C0700X
Clinical Social Worker
Primary
—
NC
1041S0200X
School Social Worker
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P020253
LCSWA
NC
Enumeration date
03/12/2024
Last updated
03/13/2024
Update your record
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