Individual
AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16740 DAVIDSON CONCORD RD, DAVIDSON, NC 28036-8746
(704) 801-9651
Mailing address
16740 DAVIDSON CONCORD RD, DAVIDSON, NC 28036-8746
(704) 801-9651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007980
NC
Other
Enumeration date
03/05/2013
Last updated
07/16/2014
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