Individual provider · NPI-1

Jaida Claire Allen, LCSWA

Social Worker, Clinical · Concord, NC

NPI number1275265274
StatusActive
Last updated in NPPESJun 29, 2022

Details

NPI
1275265274
Entity type
Individual (NPI-1)
Name
Jaida Claire Allen
Credential
LCSWA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2022
Certification date
Jun 29, 2022
Last updated
Jun 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP017774NCYes

Practice location

170 Davidson Hwy
Concord, NC 28027-4245

Phone 910-800-0915

Mailing address

170 Davidson Hwy
Concord, NC 28027-4245

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