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Individual

DONNA LYNN PLEASANTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, ACSW, LCSW

Contact information

Practice address
313 WALNUT ST, WILMINGTON, NC 28401-4067
(910) 523-0796
Mailing address
822 TISBURY LN, WILMINGTON, NC 28412-2640
(910) 523-0796

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000847
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6002962
NC
01
6030Y
BLUE CROSS BLUE SHIELD
NC
Enumeration date
12/22/2006
Last updated
03/31/2015
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