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Organization

A SU LADO THERAPY PLLC

Active
Other names
Kim G Simpson
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM GOFORTH SIMPSON LCSW (OWNER/ORGANIZER)
(980) 355-1429
Entity
Organization

Contact information

Practice address
818 S MAIN ST STE A, KANNAPOLIS, NC 28081-4918
(980) 355-1429
Mailing address
1050 CAMBROOK CT, CONCORD, NC 28027-0504
(980) 355-1429

Taxonomy

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

Other

Enumeration date
07/09/2024
Last updated
07/11/2024
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