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Individual
LISETTE JENEE-MOORE DEESE
Active
Individual
LISETTE JENEE-MOORE DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3301
NC
1041C0700X
Clinical Social Worker
Primary
C010049
NC
Other
Enumeration date
06/24/2014
Last updated
06/07/2022
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