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Contact Information

JEANIE JEFFERIES
901 S NEW HOPE RD
GASTONIA, NC28054-5829
 Phone: 704-476-4090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JEANIE JEFFERIES · (Female)

NPI # 1013083351
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # C001934
  • NC Medicaid 6106223
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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