Most Relevant Information
Provider Data
| NPI Number: | 1003432634 |
| Provider Name: | ERIYOMA EWHAREKUKO LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P014535 |
Most Important Dates
| Enumeration Date: | 06/19/2020 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
1339 BRIAR CREEK RD APT 7
CHARLOTTE
NC
282058222
Practice Location Phone/Fax
| Phone: | 3142555907 |
| Fax: |
Provider Mailing Location
1339 BRIAR CREEK RD APT 7
CHARLOTTE
NC
282058222
Provider Mailing Phone/Fax
| Phone: | 3142555907 |
| Fax: |