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Individual

ANGIE M CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
204 JEFFERSON ST STE 106, NORTH WILKESBORO, NC 28659-3586
(336) 838-1644
(336) 667-7720
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-9034

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9140
NC

Other

Enumeration date
03/19/2012
Last updated
03/11/2024
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