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Individual

TALISA DAWSON

Active
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Individual

TALISA DAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
C011635
NC
1041C0700X
Clinical Social Worker
Primary
C0011635
NC
1041C0700X
Clinical Social Worker
P010483
NC

Other

Enumeration date
06/01/2016
Last updated
03/17/2022
About Stedi
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  • EDI platform