TANIA JANEI STACK

ROCKY MOUNT, NC
NPI1639505621
Former NameTANIA JANEI MOON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  C010096)
Enumeration Date2013-09-23
Last Update Date2024-03-14
Business Address
TANIA JANEI STACK MSW, LCSW, CHC
300 N GRACE ST
ROCKY MOUNT, NC 27804-5345
Phone number: 252-210-9856
Mailing Address
TANIA JANEI STACK MSW, LCSW, CHC
6305 ARSENAL AVE
RALEIGH, NC 27610-6780
Phone number: 919-219-9747
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