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General NPI Number Information
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NPI Number | 1568043859
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Entity Type | Individual
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Provider Name | TABRE'A LASCHAYE SLEDGE LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 6616 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-6524
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Country | US
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Telephone | 984-218-4675
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Fax | 919-882-0986
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Provider Business Mailing Address
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Address Line | 207 W MILLBROOK RD STE 210
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City | RALEIGH
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State | NC
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Zip | 27609-4490
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Country | US
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Telephone | 984-218-4675
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016695
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License Number State | NC
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