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Individual

SYLVONIA DEHAVEN DICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS-A

Contact information

Practice address
2148 HWY 401 BUSINESS, RAEFORD, NC 28376
(910) 565-2857
(910) 248-6258
Mailing address
2148 HWY 401 BUSINESS, RAEFORD, NC 28376
(910) 565-2857
(910) 248-6258

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28770
NC
1041C0700X
Clinical Social Worker
P018638
NC

Other

Enumeration date
12/26/2022
Last updated
07/18/2023
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