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Individual

MRS. GINA TAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6210 SIX FORKS ROAD, BUILDING 5, SUITE 505, RALEIGH, NC 27615
(919) 589-2955
Mailing address
6210 SIX FORKS ROAD, BUILDING 5, SUITE 505, RALEIGH, NC 27615
(919) 589-2955

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
C003034
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C003034
SOCAL WORK LICENSE
NC
Enumeration date
03/09/2007
Last updated
11/19/2019
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