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1922512953
SHANNON WALTERS KINCAID
GREENSBORO, NC
NPI
1922512953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P011951)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
SHANNON WALTERS KINCAID MSW, LCSWA
300 E WENDOVER AVE STE 400
GREENSBORO, NC 27401-1221
Phone number: 336-832-3150
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Mailing Address
SHANNON WALTERS KINCAID MSW, LCSWA
4634 CROSS RIDGE LN
GREENSBORO, NC 27410-9732
Phone number: 336-688-0536
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