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Organization
DESTINATION GREATNESS, LLC
Active
Organization
DESTINATION GREATNESS, LLC
Active
Parent organization
DESTINATION GREATNESS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINATION GREATNESS, PLLC
Authorized official
MS. SHANNA A JEFFERSON MSW, CFSW, LCSW (OWNER)
(919) 794-5284
Entity
Organization
Contact information
Practice address
1142 FLAT ST E, ALLENDALE, SC 29810-5818
(919) 794-5284
Mailing address
PO BOX 13273, DURHAM, NC 27709-3273
(919) 794-5284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
12/06/2013
Last updated
12/30/2013
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