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1780989004
KEVIN RICHARD DONNELLY
WINSTON SALEM, NC
NPI
1780989004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007123)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
Mr. KEVIN RICHARD DONNELLY MSW, LCSW
4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106-3276
Phone number: 336-397-1560
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Mailing Address
Mr. KEVIN RICHARD DONNELLY MSW, LCSW
3919 AVERA AVE
WINSTON SALEM, NC 27106-1601
Phone number: 336-575-5776
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