Keyshla Marie Colon Torres, LCSWA
Social Worker, Clinical in Sanford, NC. Individual provider (NPI-1).
NPI number1770030173
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1770030173
- Entity type
- Individual (NPI-1)
- Name
- Keyshla Marie Colon Torres
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2016
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | 13383 | PR |
Practice location
130 Carbonton RdSanford, NC 27330-4009
Phone 787-579-6831
Mailing address
675 Ponderosa TrlCameron, NC 28326-9745
Phone 787-579-6831
Other practice locations
731 Tilghman Dr
Dunn, NC 28334-5507
Dunn, NC 28334-5507
Phone 910-249-4219
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