Individual
DEJA VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5619 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(833) 846-3463
Mailing address
6008 CORNFIELD AVE, FAYETTEVILLE, NC 28314-8534
(910) 813-3137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020515
NC
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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