Individual
DESINY LYNNE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 720-7770
Mailing address
1159 GAYWOOD DR, CONCORD, NC 28025-9670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016674
NC
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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