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Individual

AMITY STORM HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
208 MALLOY ST STE B, GOLDSBORO, NC 27534-4478
(984) 520-6080
Mailing address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014986
NC
1041C0700X
Clinical Social Worker
P014387
NC

Other

Enumeration date
04/28/2020
Last updated
06/27/2022
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