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1063494938
LARRY PITTMAN
LUMBERTON, NC
NPI
1063494938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 548)
Enumeration Date
2005-11-16
Last Update Date
2012-07-09
Business Address
MR. LARRY PITTMAN
4303 CRICKLEWOOD ST
LUMBERTON, NC 28358-2406
Phone number: 910-738-1208
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Mailing Address
MR. LARRY PITTMAN
4303 CRICKLEWOOD ST
LUMBERTON, NC 28358-2406
Phone number: 910-738-1208
Copy
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