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Individual

DEDRICK R GADDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW-A

Contact information

Practice address
190 ROSEWOOD CENTRE DR STE 100, HOLLY SPRINGS, NC 27540-7628
(919) 851-1527
(919) 851-3555
Mailing address
2421 GLADE MILL CT, FUQUAY VARINA, NC 27526-3525
(919) 628-8763

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO15542
NC

Other

Enumeration date
05/04/2021
Last updated
06/03/2021
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