Little, Glenda Pridgen

Little, Glenda Pridgen is an individual health care provider with primary practice located at 1407 E 5Th St , Lumberton NC 28358-6007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Little, Glenda Pridgen can be contacted via phone (910) 739-1468.

Contact Information

Primary practice address
1407 E 5Th St Lumberton NC 28358-6007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003968 North Carolina

Profile Details

NPI number 1821198441
LBN Legal business name Little, Glenda Pridgen
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821198441 NPPES
North Carolina MEDICAID 6002242
North Carolina Other 129KT
North Carolina Other 284572

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