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1942971833
RAVENN SHANNEL HACKNEY
DURHAM, NC
NPI
1942971833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 27572)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
Ms. RAVENN SHANNEL HACKNEY MSW
1913 LAMAR ST
DURHAM, NC 27705-3310
Phone number: 919-286-1509
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Mailing Address
Ms. RAVENN SHANNEL HACKNEY MSW
1913 LAMAR ST
DURHAM, NC 27705-3310
Phone number: 919-286-1509
Copy
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