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Organization
MY SISTER'S PLACE
Active
Organization
MY SISTER'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MARIE WHITE (EXECUTIVE DIRECTOR)
(336) 784-5922
Entity
Organization
Contact information
Practice address
2925 S MAIN ST, WINSTON SALEM, NC 27127-4006
(336) 784-5922
Mailing address
908 GLENCOE ST, WINSTON SALEM, NC 27107-3315
(336) 784-5922
(336) 650-9516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408417
—
NC
05
—
8300448
—
NC
Enumeration date
08/14/2006
Last updated
08/22/2020
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