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General NPI Number Information
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NPI Number | 1235570581
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Entity Type | Individual
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Provider Name | SHEQUANTA LATROYA PARKER LCSW-A
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 2443 LYNN RD STE 112
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City | RALEIGH
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State | NC
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Zip | 27612-6759
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Country | US
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Telephone | 919-438-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 8631 NEUSE CLUB LN APT 107
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City | RALEIGH
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State | NC
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Zip | 27616-8039
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Country | US
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Telephone | 252-916-1389
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P008228
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021752
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License Number State | NC
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