Basic Information
| Provider Information | |||||||||
| NPI: | 1942850490 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FIANKEU NJATOU | ||||||||
| FirstName: | SIMONE FRANCINE | ||||||||
| MiddleName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 324 PERSON ST | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283015736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6464410116 | ||||||||
| FaxNumber: | 9104380942 | ||||||||
| Practice Location | |||||||||
| Address1: | 324 PERSON ST | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283015736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6464410116 | ||||||||
| FaxNumber: | 9104380942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2019 | ||||||||
| LastUpdateDate: | 09/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | P013822 | NC | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.