Individual
DEBRA A CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4815 MONTIBELLO DR, CHARLOTTE, NC 28226-7428
(419) 350-2800
Mailing address
4815 MONTIBELLO DR, CHARLOTTE, NC 28226-7428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091623
MI
1041C0700X
Clinical Social Worker
C014786
NC
Other
Enumeration date
02/07/2011
Last updated
11/07/2023
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