Individual
CALLIE ERICSON DEWESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 SAM NEWELL RD, MATTHEWS, NC 28105-5063
(704) 900-2904
Mailing address
8256 CHATHAM OAKS DR, CONCORD, NC 28027-9606
(774) 275-1291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13223
NC
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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