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Individual

EMILY ANNE ORTIZ BADALAMENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHCA, ATR-P

Contact information

Practice address
1365 WESTGATE CENTER DR STE L1, WINSTON SALEM, NC 27103-3106
(336) 448-4451
Mailing address
626 JERSEY AVE, WINSTON SALEM, NC 27101-1111
(804) 384-8293

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16548
NC
221700000X
Art Therapist
18-339

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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