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Organization

KATESHA S. CROMWELL

Active
Other names
Fernandez Community Center
Organization subpart
No

Provider details

NPI number
Authorized official
KATESHA SHANEE CROMWELL LCSWA (PROVISIONAL OUTPATIENT THERAPIST)
(757) 751-5328
Entity
Organization

Contact information

Practice address
1201 PARABLE WAY, CARY, NC 27519-0897
(757) 751-5328
Mailing address
1201 PARABLE WAY, CARY, NC 27519-0897
(757) 751-5328

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P009061
NC

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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