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1215163167
TIMEKA A SOUTHERLAND
WINSTON SALEM, NC
NPI
1215163167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 8201)
Enumeration Date
2009-06-05
Last Update Date
2015-08-31
Business Address
Mrs. TIMEKA A SOUTHERLAND LPC
206 FAIR OAKS LN
WINSTON SALEM, NC 27127-3178
Phone number: 336-745-7179
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Mailing Address
Mrs. TIMEKA A SOUTHERLAND LPC
2048 LAUREN WOODS DR
WINSTON SALEM, NC 27127-8917
Phone number: 336-745-7179
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