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1245981505
TENEISHA SHANTA VAUGHAN
CHESAPEAKE, VA
NPI
1245981505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0906012067)
Enumeration Date
2022-01-18
Last Update Date
2022-01-25
Business Address
TENEISHA SHANTA VAUGHAN
2211 S MILITARY HWY STE B23320
CHESAPEAKE, VA 23320-5987
Phone number: 757-633-5168
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Mailing Address
TENEISHA SHANTA VAUGHAN
307 SPRING AVE
MURFREESBORO, NC 27855-1829
Phone number: 252-396-3298
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