Individual
LIA DELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7719 WHITEHORSE DR, CLEMMONS, NC 27012-9150
(336) 671-1601
Mailing address
7719 WHITEHORSE DR, CLEMMONS, NC 27012-9150
(336) 671-1601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6799
NC
Other
Enumeration date
01/22/2008
Last updated
05/11/2013
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