Healthcare Provider Details

I. General information

NPI: 1083683965
Provider Name (Legal Business Name): M. BREE KALB M.S., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W WEAVER ST
CARRBORO NC
27510-2021
US

IV. Provider business mailing address

301 W WEAVER ST
CARRBORO NC
27510-2021
US

V. Phone/Fax

Practice location:
  • Phone: 919-932-6262
  • Fax:
Mailing address:
  • Phone: 919-932-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC001401
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: