Individual
MRS. ALISHA ANDREA NISSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
130 IOWA LN, CARY, NC 27511
(919) 585-5085
Mailing address
130 IOWA LN, CARY, NC 27511-4494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P014151
NC
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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