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Individual

MRS. DANA JACKSON BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, QMHCP

Contact information

Practice address
1616 RIVERKNOLL DR, RALEIGH, NC 27610-4580
(919) 212-3807
Mailing address
5340 SEASPRAY LN, RALEIGH, NC 27610-5781
(919) 696-1772

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/28/2009
Last updated
04/28/2009
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