Individual
NICOLE DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 SHADY GROVE CT, WINSTON SALEM, NC 27103-5540
(980) 268-2745
Mailing address
469 SHADY GROVE CT, WINSTON SALEM, NC 27103-5540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17840
NC
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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