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1033455779
KYSHA THOMPSON
DURHAM, NC
NPI
1033455779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-28
Last Update Date
2012-12-28
Business Address
-- KYSHA THOMPSON
309 CRUTCHFIELD ST
DURHAM, NC 27704-2754
Phone number: 919-797-2534
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Mailing Address
-- KYSHA THOMPSON
2513 COLEMAN LOOP RD
HILLSBOROUGH, NC 27278-9294
Phone number: 919-732-4853
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