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1780939355
TATISHA DEVONNE FAUNTLEROY
DURHAM, NC
NPI
1780939355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 8744)
Enumeration Date
2012-07-19
Last Update Date
2020-12-02
Business Address
TATISHA DEVONNE FAUNTLEROY LCMHC
324 CALLANDALE LN
DURHAM, NC 27703-9803
Phone number: 919-224-8896
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Mailing Address
TATISHA DEVONNE FAUNTLEROY LCMHC
324 CALLANDALE LN
DURHAM, NC 27703-9803
Phone number: 919-224-8896
Copy
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