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1962520866

NPI Code Detail

MEDICARE: CRISTINA GARCIA DE AGUILAR LCSW

MEDICARE: CRISTINA GARCIA DE AGUILAR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C005102	NC
2	104100000X	Social Worker	C005102	NC

General Provider Information

NPI Number	:	1962520866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA GARCIA DE AGUILAR LCSW

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 US HIGHWAY 74 W
Second Line	:	RM 1051
City	:	WADESBORO
State	:	NC
Zip	:	28170-7554
Country	:	US
Telephone Number	:	704-694-4520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/15/2024

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Directions to “ CRISTINA GARCIA DE AGUILAR LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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