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1063177038
CEDRIC LEE WILKINS
PLYMOUTH, NC
NPI
1063177038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-26854)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
CEDRIC LEE WILKINS LCAS-A
116 POND PINE DR
PLYMOUTH, NC 27962-9520
Phone number: 252-661-3110
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Mailing Address
CEDRIC LEE WILKINS LCAS-A
116 POND PINE DR
PLYMOUTH, NC 27962-9520
Phone number: 252-661-3110
Copy
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