Individual
MRS. DEVORA RENEE NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, P-LCSW
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-1825
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
P004420
NC
363L00000X
Nurse Practitioner
Primary
5018075
NC
Other
Enumeration date
05/08/2008
Last updated
07/25/2023
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