| Freddie-claires Integrated Services Llc | |
|
5021 Cherry St Winston Salem NC 27105-2115 | |
| (951) 588-9158 | |
| Not Available |
| Full Name | Freddie-claires Integrated Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5021 Cherry St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Frederick Nelson Wilson (CEO/PRESIDENT) |
| Authorized Official Contact | 9515889158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freddie-claires Integrated Services Llc 5021 Cherry St Winston Salem NC 27105-2115 Ph: (951) 588-9158 | Freddie-claires Integrated Services Llc 5021 Cherry St Winston Salem NC 27105-2115 Ph: (951) 588-9158 |
| NPI Number | 1932889540 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932889540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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