FONTASIA MONIQUE WADE-BLIVENS

LEXINGTON, NC
NPI1568940773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  P012334)
Enumeration Date2018-07-31
Last Update Date2018-07-31
Business Address
FONTASIA MONIQUE WADE-BLIVENS
820 GRIMES BLVD
LEXINGTON, NC 27292-7640
Phone number: 336-224-6071
Mailing Address
FONTASIA MONIQUE WADE-BLIVENS
350 PEE DEE AVE STE 101
ALBEMARLE, NC 28001-4945
Phone number: 704-986-1500
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