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1073979878
TOMMY LAMAR JEFFCOAT
CHARLOTTE, NC
NPI
1073979878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21119)
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
-- TOMMY LAMAR JEFFCOAT LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 980-242-2744
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Mailing Address
-- TOMMY LAMAR JEFFCOAT LCASA
706 SHARVIEW CIR APT. 1332
CHARLOTTE, NC 28217-6630
Phone number: 803-979-2821
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