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1033386610
LARRY WAYNE CLUBINE
FAYETTEVILLE, NC
NPI
1033386610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC intern)
Enumeration Date
2008-05-13
Last Update Date
2015-01-14
Business Address
Mr. LARRY WAYNE CLUBINE BA, CSAC
1329 ROBESON ST
FAYETTEVILLE, NC 28305-5531
Phone number: 910-438-0939
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Mailing Address
Mr. LARRY WAYNE CLUBINE BA, CSAC
911 HAY ST
FAYETTEVILLE, NC 28305-5313
Phone number: 910-438-0939
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