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1750031803
TINESHA CHEVON COUTHEN
WINSTON SALEM, NC
NPI
1750031803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014847)
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
TINESHA CHEVON COUTHEN
5617 HARRINGTON VILLAGE DR
WINSTON SALEM, NC 27105-9140
Phone number: 336-464-6212
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Mailing Address
TINESHA CHEVON COUTHEN
5617 HARRINGTON VILLAGE DR
WINSTON SALEM, NC 27105-9140
Phone number: 336-464-6212
Copy
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