Individual
ELIANA ALTAGRACIA DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
11 UNION ST S STE 200, CONCORD, NC 28025-5098
(704) 918-9741
(704) 270-6213
Mailing address
714 MOSBY CROSSING DR APT 3109, CHARLOTTE, NC 28213-0256
(201) 423-3125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020698
NC
Other
Enumeration date
06/22/2024
Last updated
07/25/2025
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