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Individual

DEBOREA WILLIAMS WINFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
122 N SPRUCE ST, WINSTON SALEM, NC 27101
(336) 774-3988
(336) 774-3989
Mailing address
122 N SPRUCE ST, WINSTON SALEM, NC 27101
(336) 774-3988
(336) 774-3989

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1015
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00141648
RAILROAD MEDICARE
NC
01
44407
BCBS OF NC
NC
05
6000045
NC
05
6000596
NC
Enumeration date
09/02/2005
Last updated
07/08/2007
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