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1043852957
JONATHAN CONYERS LEVINE
RALEIGH, NC
NPI
1043852957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P013430)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
JONATHAN CONYERS LEVINE
107 SUNNYBROOK RD
RALEIGH, NC 27610-1827
Phone number: 984-974-4800
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Mailing Address
JONATHAN CONYERS LEVINE
127 NEW BERN PL APT 504
RALEIGH, NC 27601-1463
Phone number: 617-750-8311
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