Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 34005348A | IN |
Y | 1041C0700X | Clinical Social Worker | C006363 | NC |
NPI | 1003010513 |
---|---|
Provider Name | Ms. Stephanie S Adams-Gilmer |
First Address | Raleigh, NC 27606-1385 |
Second Address | Holly Springs, NC 27540-7525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 24/06/2015 |