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1013170885
AMANDA GRACE CONNELLY
WINSTON SALEM, NC
NPI
1013170885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 9785)
Enumeration Date
2008-07-02
Last Update Date
2017-12-01
Business Address
AMANDA GRACE CONNELLY
4140 CHERRY ST
WINSTON SALEM, NC 27105-2536
Phone number: 336-306-9620
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Mailing Address
AMANDA GRACE CONNELLY
350 PEE DEE AVE STE 101
ALBEMARLE, NC 28001-4945
Phone number: 704-986-1500
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