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Individual

MS. RAZHEDATEQUILA EUNICETAGE SANFORD

Active
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Individual

MS. RAZHEDATEQUILA EUNICETAGE SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW LCAS CSI

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25881
NC
104100000X
Social Worker
C015805
NC
1041C0700X
Clinical Social Worker
C015805
NC
251S00000X
Community/Behavioral Health Agency
Primary
C015805
NC

Other

Enumeration date
05/24/2017
Last updated
02/04/2026
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