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Organization

INNOVATION THERAPIES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE SHAVON DAWSON MPA, MSW (CEO/OWNER)
(919) 593-3340
Entity
Organization

Contact information

Practice address
3201 YORKTOWN AVE STE 117D, DURHAM, NC 27713-1474
(919) 593-3340
(919) 550-2397
Mailing address
756-402 CL TART CIRCLE, FAYETTEVILLE, NC 28314
(919) 593-3340
(919) 550-2397

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/18/2012
Last updated
04/20/2018
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