SearchNorth Carolina225700000X

Ica Eldridge, NC LMBT# 12464

NPI 1023508579 · on the registry since 2018

Practice

Address
492 N Main St
Mount Airy, NC 27030
Phone
(336) 783-0055
Fax
(336) 648-8084

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina