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1083482046
NASTASIA MARIE STREET
RAEFORD, NC
NPI
1083482046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19497)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
NASTASIA MARIE STREET
402 HARRIS AVE
RAEFORD, NC 28376-3112
Phone number: 910-875-5590
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Mailing Address
NASTASIA MARIE STREET
163 ASHCROFT CT
RAEFORD, NC 28376-7476
Phone number: 720-648-0106
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