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1124404389
DELVONDRIA DAIYUNTE DUBOSE
WINSTON SALEM, ZZ
NPI
1124404389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 21927)
Enumeration Date
2015-08-10
Last Update Date
2018-08-13
Business Address
DELVONDRIA DAIYUNTE DUBOSE MA, LCAS
2291 WOODSONG LN
WINSTON SALEM, ZZ
Phone number: 336-782-0436
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Mailing Address
DELVONDRIA DAIYUNTE DUBOSE MA, LCAS
2291 WOODSONG LN
WINSTON SALEM, NC 27106-2349
Phone number: 336-782-0436
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