Provider Demographics
NPI:1558939611
Name:DAWSON, DARLENE D
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:D
Last Name:DAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 FORESTER DR APT 3B
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2940
Mailing Address - Country:US
Mailing Address - Phone:336-587-1326
Mailing Address - Fax:
Practice Address - Street 1:5430 FORESTER DR APT 3B
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2940
Practice Address - Country:US
Practice Address - Phone:336-587-1326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management