Lifesource Of North Carolina
Clinical Social Worker · Holland, OH
At a glance
1525 Eber Rd, Holland, OH 43528-9616
NPPES record updated Apr 10, 2024. Public records can lag behind changes at a practice.
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Practice location
1525 Eber RdHolland, OH 43528-9616
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Dec 13, 2019
- Record updated
- Apr 10, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103TC0700X
Specialty details in registry
104100000X
Clinical Social Worker
1041C0700X · Primary
Internal Medicine
207R00000X
Psychiatry
2084P0800X
Physician Assistant
363A00000X
Nurse Practitioner
363L00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1525 Eber RdHolland, OH 43528-9616
- Phone
- (910) 742-9243
- Fax
- (888) 746-1787
Mailing address
PO BOX 538622ATLANTA, GA 303538622
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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