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Individual
MRS. DEANNA ROSEMARY CLINGHAM
Active
Individual
MRS. DEANNA ROSEMARY CLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5081
LPC
NC
01
—
PC00082100
LPC
NJ
Enumeration date
01/06/2007
Last updated
07/08/2007
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