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1639505621
TANIA JANEI STACK
ROCKY MOUNT, NC
NPI
1639505621
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Former Name
TANIA JANEI MOON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C010096)
Enumeration Date
2013-09-23
Last Update Date
2024-03-14
Business Address
TANIA JANEI STACK MSW, LCSW, CHC
300 N GRACE ST
ROCKY MOUNT, NC 27804-5345
Phone number: 252-210-9856
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Mailing Address
TANIA JANEI STACK MSW, LCSW, CHC
6305 ARSENAL AVE
RALEIGH, NC 27610-6780
Phone number: 919-219-9747
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