Individual
CHRISTY JALISA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 POPLARWOOD CT STE 350, RALEIGH, NC 27604-6446
(919) 790-8085
Mailing address
1587 LOW GROUND RD, EMPORIA, VA 23847-6726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014630
NC
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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