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Individual

MRS. ALYSE NOVEMBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., L.C.S.W.

Contact information

Practice address
107 CANTERSTONE CT, CARY, NC 27518-2251
(561) 270-2280
(561) 270-2284
Mailing address
702 LUMPKIN ST, TRAVELERS REST, SC 29690-1983
(561) 289-2545
(561) 270-2284

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AF095
MEDICARE
FL
01
Z131W
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/19/2007
Last updated
05/10/2024
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