Individual
DANIEL SHEA WINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STEVENS MILL RD, GOLDSBORO, NC 27530-1056
(919) 731-3521
Mailing address
1703 SCOTTY DR, GOLDSBORO, NC 27534-3334
(919) 731-3521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
439
NC
Other
Enumeration date
10/17/2006
Last updated
06/22/2012
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