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Individual
SHAWTAY D REESE
Active
Individual
SHAWTAY D REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C008240
NC
1041C0700X
Clinical Social Worker
Primary
C008240
NC
Other
Enumeration date
04/29/2013
Last updated
06/10/2024
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