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Individual

AQILAH TALIB BATTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
107 S QUEEN ST, KINSTON, NC 28501-4933
(252) 522-9800
(252) 523-9790
Mailing address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
(252) 523-9790

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001341
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1025U
BCBSNC
NC
05
6002063
NC
Enumeration date
05/30/2006
Last updated
04/23/2019
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