Individual
MRS. DIANE ROKITA PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW,LCSW
Contact information
Practice address
19 NORTH DOBBS STREET, HALIFAX, NC 27839-0010
(252) 583-5021
Mailing address
19 NORTH DOBBS STREET, HALIFAX, NC 27839-0010
(252) 583-5021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C000362
NC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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