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MRS. DIANE ROKITA PRIDGEN ACSW,LCSW

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992865620

Individual Registrant:
MRS. DIANE ROKITA PRIDGEN ACSW,LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
19 NORTH DOBBS STREET  HALIFAX, NC 27839-0010 US
Tel: 252-583-5021  Fax: --

Contact information for business:
19 NORTH DOBBS STREET  HALIFAX, NC 27839-0010 US
Tel: 252-583-5021  Fax: --

Registration Information:
NPI: 1992865620
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
NCC000362

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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