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Organization
SELFLY ENTERPRISE PLLC
Active
Organization
SELFLY ENTERPRISE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA LONDONO LCSW, LCAS (CEO)
(910) 723-7748
Entity
Organization
Contact information
Practice address
6936 WADSWORTH PL, FAYETTEVILLE, NC 28314-1172
(910) 723-7748
Mailing address
6936 WADSWORTH PL, FAYETTEVILLE, NC 28314-1172
(910) 723-7748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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