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Individual

CALACIA TIANA DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-A

Contact information

Practice address
1781 S MAIN ST STE B, LAURINBURG, NC 28352-5407
(910) 406-4018
(843) 400-5045
Mailing address
PO BOX 2153, LAURINBURG, NC 28353-2153
(910) 506-4018

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019590
NC

Other

Enumeration date
09/13/2024
Last updated
09/13/2024
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