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Christy Jalisa Hines

Social Worker, Clinical in Raleigh, NC. Individual provider (NPI-1).

NPI number1346852845
StatusActive
Last updated in NPPESAug 18, 2020

Details

NPI
1346852845
Entity type
Individual (NPI-1)
Name
Christy Jalisa Hines
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2020
Certification date
Aug 18, 2020
Last updated
Aug 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP014630NCYes

Practice location

3117 Poplarwood Ct Ste 350
Raleigh, NC 27604-6446

Phone 919-790-8085

Mailing address

1587 Low Ground Rd
Emporia, VA 23847-6726

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