Individual
MR. ELIJAH HAROLD BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
312 W MILLBROOK RD STE 129, RALEIGH, NC 27609-4398
(919) 877-6101
(919) 876-4953
Mailing address
408 CLOVER LN APT C, RALEIGH, NC 27604-2054
(919) 272-5310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018170
NC
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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