Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | P005874 | NC |
NPI | 1003129727 |
---|---|
Provider Name | Elizabeth Alice Struik |
First Address | Asheville, NC 28801-2088 |
Second Address | Asheville, NC 28806-2666 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2010 |
Last Update Date | 22/07/2010 |