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Individual

T DIANNE MACPHERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LISW-CP

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAS 3328
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23423
NC
1041C0700X
Clinical Social Worker
Primary
10339
SC
1041C0700X
Clinical Social Worker
C008226
NC

Other

Enumeration date
07/05/2005
Last updated
02/27/2019
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