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Individual
DAXEA DEWEESE
Active
Individual
DAXEA DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDAC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02292-I
NV
104100000X
Social Worker
Primary
7635-S
NV
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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