Provider Information for 1104955293
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Ms. CHIMERE DANIELLE NEAL LCSW
Sex: Female
NPI: 1104955293
Last Updated: 2022-09-01
Certification Date: 2022-09-01
Certification Date: 2022-09-01
Details
Name | Value | ||||||||
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NPI | 1104955293 | ||||||||
Enumeration Date | 2007-03-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1923 J N PEASE PL STE 104 CHARLOTTE, NC 28262-4534 United States Phone: 704-299-2288 | Fax:704-545-0333 | ||||||||
Primary Practice Address | 1923 J N PEASE PL STE 104 CHARLOTTE, NC 28262 United States Phone: 704-299-2881 | Fax: | ||||||||
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