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Individual

CALAH BROOKE FAIRCLOTH HUFFINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCMHCA

Contact information

Practice address
860 W 5TH ST, WINSTON SALEM, NC 27101-2506
(336) 355-8244
(336) 546-7630
Mailing address
2487 SOMERSET PLACE DR, WINSTON SALEM, NC 27103-9624
(828) 514-9095

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A20479
NC

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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