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1013308964
JACQUELINE RENEE WORTHINGTON
KNIGHTDALE, NC
NPI
1013308964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC 11219)
Enumeration Date
2015-02-13
Last Update Date
2022-05-25
Business Address
MRS. JACQUELINE RENEE WORTHINGTON LCMHC
217 AQUA MARINE LN
KNIGHTDALE, NC 27545-7869
Phone number: 919-667-4583
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Mailing Address
MRS. JACQUELINE RENEE WORTHINGTON LCMHC
217 AQUA MARINE LN
KNIGHTDALE, NC 27545-7869
Phone number: 919-667-4583
Copy
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