Individual
MRS. ELAINE WILDER DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S BENBOW RD, GREENSBORO, NC 27401-3409
(336) 274-9884
Mailing address
710 S BENBOW RD, GREENSBORO, NC 27401-3409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C001373
NC
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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