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Organization

A RAY OF LIGHT PLLC

Active
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Organization

A RAY OF LIGHT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIQUE LATRECE SQUIRE LCSW (LICENSED CLINICAL SOCIAL WORKER CEO)
(919) 423-7483
Entity
Organization

Contact information

Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(252) 689-7424
(252) 631-0687
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(252) 689-7424
(252) 631-0687

Taxonomy

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

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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