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1962024547
DEANNA THAO LA
WINSTON SALEM, NC
NPI
1962024547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012678)
Enumeration Date
2020-05-17
Last Update Date
2023-08-23
Business Address
DEANNA THAO LA LCSW
1615 POLO RD
WINSTON SALEM, NC 27106-3831
Phone number: 336-722-7266
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Mailing Address
DEANNA THAO LA LCSW
713 S MARSHALL ST
WINSTON SALEM, NC 27101-5808
Phone number: 336-722-7266
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