GENEVI J AGE

WILMINGTON, NC
NPI1053822130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: NC  23005)
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
Ms. GENEVI J AGE LCAS-A
5233 SUNDANCE WAY UNIT 101
WILMINGTON, NC 28409-5771
Phone number: 910-649-4964
Mailing Address
Ms. GENEVI J AGE LCAS-A
5233 SUNDANCE WAY UNIT 101
WILMINGTON, NC 28409-5771
Phone number: 910-619-4964
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