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Individual

KASSI JADE DADUFALZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
1008 BULLARD CT, RALEIGH, NC 27615-6833
(919) 833-3312
Mailing address
1008 BULLARD CT, RALEIGH, NC 27615-6833
(919) 833-3312

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12374A
NC

Other

Enumeration date
05/09/2022
Last updated
05/09/2022
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