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1083234413
SHANTEL KIMBROUGH
WINSTON SALEM, NC
NPI
1083234413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
SHANTEL KIMBROUGH
4140 CHERRY ST
WINSTON SALEM, NC 27105-2536
Phone number: 336-306-9620
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Mailing Address
SHANTEL KIMBROUGH
3939 COTTINGTON DR
WINSTON SALEM, NC 27105-4120
Phone number:
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