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Organization

CEDAR TREE EMPOWERMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYSIA ALLEN LCSW (CLINICAL DIRECTOR)
(704) 284-7330
Entity
Organization

Contact information

Practice address
16507A NORTHCROSS DR STE 109, HUNTERSVILLE, NC 28078-5081
(704) 284-7330
Mailing address
4685 HACKBERRY GROVE CIR APT 1836, CHARLOTTE, NC 28269-2434
(929) 204-6983

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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