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Individual

TAKERAH J MACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
943 W ANDREWS AVE, HENDERSON, NC 27536-2516
(252) 598-2462
Mailing address
270 SHORE PINE DR, YOUNGSVILLE, NC 27596-7587
(919) 885-7466

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P019705
NC

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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