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Individual

DR. ROBIN E DOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LPC, CRC

Contact information

Practice address
3410 HEALY DR, SUITE 203, WINSTON SALEM, NC 27103-1403
(336) 774-0006
Mailing address
3410 HEALY DR, SUITE 203, WINSTON SALEM, NC 27103-1403
(678) 614-3211

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC003265
GA
101YP2500X
Professional Counselor
Primary
LPC9895
NC
225C00000X
Rehabilitation Counselor
C-036617
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
557746581A
GA
Enumeration date
07/11/2006
Last updated
04/11/2016
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