Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 085435 | NY |
Y | 104100000X | Social Worker | C010791 | NC |
NPI | 1003247057 |
---|---|
Provider Name | Ms. Erin Dos Reis |
First Address | Charlotte, NC 28210 |
Second Address | Charlotte, NC 28210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2013 |
Last Update Date | 04/08/2020 |