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1508290990
DEREK PAUL EASLEY
WAKE FOREST, NC
NPI
1508290990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C009624)
Enumeration Date
2013-08-21
Last Update Date
2015-11-20
Business Address
MR. DEREK PAUL EASLEY LCSW
10580 LIGON MILL RD 210
WAKE FOREST, NC 27587-4575
Phone number: 919-263-9592
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Mailing Address
MR. DEREK PAUL EASLEY LCSW
10580 LIGON MILL RD 210
WAKE FOREST, NC 27587-4575
Phone number: 919-263-9592
Copy
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