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1427785112
DEJA STOVER
CHARLOTTE, NC
NPI
1427785112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017995)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
DEJA STOVER LCSWA
5820 E W T HARRIS BLVD STE 205
CHARLOTTE, NC 28215-4032
Phone number: 704-469-1243
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Mailing Address
DEJA STOVER LCSWA
9404 GROVE SIDE LN APT 714
CHARLOTTE, NC 28262-5485
Phone number: 864-373-4621
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