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Individual

MS. EILEEN BLUM NARDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW

Contact information

Practice address
1071 PEMBERTON HILL RD, SUITE 201, APEX, NC 27502-4268
(919) 367-0404
Mailing address
1071 PEMBERTON HILL RD, SUITE 201, APEX, NC 27502-4268
(919) 367-0404

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002841
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1258H
BCBS OF NC
NC
Enumeration date
03/06/2007
Last updated
07/08/2007
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