Individual
ANDREA LEE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7489 ROCKFISH RD, RAEFORD, NC 28376-6131
(727) 798-7873
Mailing address
7489 ROCKFISH RD, RAEFORD, NC 28376-6131
(727) 798-7873
(833) 260-0543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C101933
NC
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
06/09/2015
Last updated
08/29/2022
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