Provider Information for 1144490582
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Mrs. RANDIESA SPIRES LCSW
Other Names:Professional Name:RANDIESA SPIRES-ADAMS LCSWSex: Female
NPI: 1144490582
Last Updated: 2025-01-29
Certification Date: 2025-01-29
Certification Date: 2025-01-29
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144490582 | ||||||||||||
| Enumeration Date | 2008-02-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 602368 CHARLOTTE, NC 28260-2368 United States Phone: 321-418-9196 | Fax:919-350-2995 | ||||||||||||
| Primary Practice Address | 3000 NEW BERN AVE RALEIGH, NC 27610-1231 United States Phone: 919-350-7722 | Fax:919-350-2995 | ||||||||||||
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