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Individual
MS. VANESSA M TALLEY
Active
Individual
MS. VANESSA M TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C014658
NC
101YM0800X
Mental Health Counselor
MSW010129
GA
1041C0700X
Clinical Social Worker
Primary
C014658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942964382
—
NC
Enumeration date
10/22/2021
Last updated
01/26/2023
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