Individual
CHRISOLA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QP, MSW, LCSWA
Contact information
Practice address
505 SUNSET AVE, ROCKY MOUNT, NC 27804-5616
(252) 212-5524
(252) 212-5844
Mailing address
PO BOX 381, ELM CITY, NC 27822-0381
(252) 361-6835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021832
NC
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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