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Contact Information

LIFESOURCE OF NORTH CAROLINA
3540 S 43RD ST
MILWAUKEE, WI53220-1502
 Phone: 910-742-9243
 Fax: 888-746-1787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for LIFESOURCE OF NORTH CAROLINA · (Female)

NPI Number 1871135723
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2019
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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