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General NPI Number Information
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NPI Number | 1821944166
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Entity Type | Organization
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Legal Business Name | A RAY OF LIGHT PLLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 252-689-7424
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Fax | 252-631-0687
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Provider Business Mailing Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 252-689-7424
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Fax | 252-631-0687
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER CEO
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Name | DOMINIQUE LATRECE SQUIRE
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Credential | LCSW
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Telephone | 919-423-7483
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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 |
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License Number State |
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