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Individual

GENEVIEVE STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHCA

Contact information

Practice address
1180 N MAIN ST, KERNERSVILLE, NC 27284-9856
(336) 283-3830
Mailing address
3617 N ELM ST APT 3N, GREENSBORO, NC 27455-2864
(845) 522-2647

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15750
NC

Other

Enumeration date
08/06/2020
Last updated
08/29/2022
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