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1295091668
BRIAN EVAN DAUGHERTY
WAKE FOREST, NC
NPI
1295091668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007041)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
Mr. BRIAN EVAN DAUGHERTY LCSW
214 TILLAMOOK DR
WAKE FOREST, NC 27587-4934
Phone number: 919-946-2987
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Mailing Address
Mr. BRIAN EVAN DAUGHERTY LCSW
214 TILLAMOOK DR
WAKE FOREST, NC 27587-4934
Phone number: 919-946-2987
Copy
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