LARRY WAYNE CLUBINE

FAYETTEVILLE, NC
NPI1033386610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  intern)
Enumeration Date2008-05-13
Last Update Date2015-01-14
Business Address
Mr. LARRY WAYNE CLUBINE BA, CSAC
1329 ROBESON ST
FAYETTEVILLE, NC 28305-5531
Phone number: 910-438-0939
Mailing Address
Mr. LARRY WAYNE CLUBINE BA, CSAC
911 HAY ST
FAYETTEVILLE, NC 28305-5313
Phone number: 910-438-0939