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Individual

SHONTA R LEWIS-FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
Mailing address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2837
NC

Other

Enumeration date
08/08/2012
Last updated
08/10/2012
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