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1285905968
VIRGINIA DERBY BUSTLE
RALEIGH, NC
NPI
1285905968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C002197)
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
-- VIRGINIA DERBY BUSTLE LCSW
809 SPRING FOREST RD STE 1000
RALEIGH, NC 27609-9147
Phone number: 919-771-7833
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Mailing Address
-- VIRGINIA DERBY BUSTLE LCSW
3316 HUNTLEIGH DR
RALEIGH, NC 27604-3312
Phone number: 919-771-7833
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