Individual
DEJA MONIQUE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 CHAPEL HILL RD, DURHAM, NC 27707-1177
(919) 246-5664
Mailing address
1435 E NC HIGHWAY 54 APT L, DURHAM, NC 27713-2666
(336) 624-5309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018308
NC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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