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1033783261
KEISHA M HEARD
WINSTON SALEM, NC
NPI
1033783261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 24152)
Enumeration Date
2021-05-13
Last Update Date
2021-05-14
Business Address
KEISHA M HEARD LCAS-A
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-728-8389
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Mailing Address
KEISHA M HEARD LCAS-A
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-728-8389
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