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Individual
MISS TEAL VENICE GARVIN
Active
Individual
MISS TEAL VENICE GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1429
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
9516
NC
104100000X
Social Worker
9764-CP
SC
1041C0700X
Clinical Social Worker
9764-CP
SC
1041C0700X
Clinical Social Worker
Primary
C006557
NC
251S00000X
Community/Behavioral Health Agency
1429
NC
251S00000X
Community/Behavioral Health Agency
9764-CP
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112081
—
NC
05
—
SW1056
—
SC
Enumeration date
04/15/2008
Last updated
03/17/2024
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