Corinne Lavaughn Geary-Little
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1124780002
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1124780002
- Entity type
- Individual (NPI-1)
- Name
- Corinne Lavaughn Geary-Little
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2021
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P015500 | NC | Yes |
Practice location
5200 Park Rd Ste 102cCharlotte, NC 28209-3650
Phone 704-850-6479
Mailing address
10130 Mallard Creek Rd Ste 300Charlotte, NC 28262-6001
Phone 704-850-6479 · Fax 704-603-3011
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