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Individual

BIANCA SAMONE STEVENS-VINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSWA

Contact information

Practice address
690 N REILLY RD, FAYETTEVILLE, NC 28303-5724
(833) 846-3463
Mailing address
1485 YELLOW RIBBON DR APT C, FAYETTEVILLE, NC 28314-3129
(757) 629-4266

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019512
NC

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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