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1063921161
KELLY MARIE WASSON
WINSTON SALEM, NC
NPI
1063921161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012739)
Enumeration Date
2017-09-21
Last Update Date
2021-11-23
Business Address
KELLY MARIE WASSON LCSW
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127-3726
Phone number: 336-955-1379
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Mailing Address
KELLY MARIE WASSON LCSW
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127-3726
Phone number: 336-955-1379
Copy
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