Provider Information for 1548453079
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Mrs. ADRIENNE RENEE NORWOOD LCSW, QMHP
Sex: Female
NPI: 1548453079
Last Updated: 2007-08-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1548453079 | ||||||||
| Enumeration Date | 2007-08-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5830 TWIN BROOK DR CHARLOTTE, NC 28269-1691 United States Phone: 704-599-6322 | Fax:704-599-6322 | ||||||||
| Primary Practice Address | 1325 E GARRISON BLVD STE C GASTONIA, NC 28054-5149 United States Phone: 704-649-9078 | Fax:704-868-7848 | ||||||||
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