Individual
MS. DEMICKA TRYNE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 CAMERON WAY CIR, WINSTON SALEM, NC 27103-5943
(336) 816-0543
Mailing address
193 CAMERON WAY CIR, WINSTON SALEM, NC 27103-5943
(336) 816-0543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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