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1730916701
SHALISA THORNBURG
GREENSBORO, NC
NPI
1730916701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P021166)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
SHALISA THORNBURG
1119 EAGLE RD
GREENSBORO, NC 27407-4055
Phone number: 505-362-4331
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Mailing Address
SHALISA THORNBURG
1119 EAGLE RD
GREENSBORO, NC 27407-4055
Phone number:
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