Slane, Elizabeth Dacus

Slane, Elizabeth Dacus is an individual health care provider with primary practice located at 3541 Randolph Rd Suite 102, Charlotte NC 28211-1032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slane, Elizabeth Dacus can be contacted via phone (704) 365-1450.

Contact Information

Primary practice address
3541 Randolph Rd Suite 102 Charlotte NC 28211-1032
Phone: (704) 365-1450
Fax: (704) 366-6464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000767 North Carolina

Profile Details

NPI number 1346207511
LBN Legal business name Slane, Elizabeth Dacus
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2006
Last updated Jul 9th, 2007 - about 18 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 1346207511 NPPES
North Carolina Other 7684N BCBS PROVIDER NUMBER
North Carolina Other 1817536 BCBS PROVIDER NUMBER
North Carolina MEDICAID 6002053 BCBS PROVIDER NUMBER

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