Individual
DEJAH ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014279
NC
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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