Individual
CERISSA MALEEKAH DEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 E NC HIGHWAY 54, DURHAM, NC 27713-3210
(919) 474-6400
Mailing address
12103 OAKWOOD VIEW DR APT 307, RALEIGH, NC 27614-6880
(919) 406-4751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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