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1083295059
LISA A RAINWATER
WINSTON SALEM, NC
NPI
1083295059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A16057)
Enumeration Date
2021-04-20
Last Update Date
2021-06-29
Business Address
Ms. LISA A RAINWATER MA
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-0327
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Mailing Address
Ms. LISA A RAINWATER MA
2444 MAPLEWOOD AVE
WINSTON SALEM, NC 27103-3535
Phone number: 347-880-2222
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