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Individual

FAYONA DIANA JAMES CURENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
550 S CHURCH ST STE 14, SPARTANBURG, SC 29306-3306
(864) 774-7001
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(773) 644-3941
(614) 685-3081

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151229
OH
104100000X
Social Worker
I.1101015
OH
1041C0700X
Clinical Social Worker
Primary
16767
SC
1041C0700X
Clinical Social Worker
I 1101015.SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0193421
OH
Enumeration date
02/12/2016
Last updated
07/12/2024
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