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1093122079
ANITA GORDON FAIRCLOTH
CHAPEL HILL, NC
NPI
1093122079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C011816)
Enumeration Date
2014-07-22
Last Update Date
2018-10-19
Business Address
ANITA GORDON FAIRCLOTH
7709 ORANGE GROVE RD
CHAPEL HILL, NC 27516-8877
Phone number: 919-883-7503
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Mailing Address
ANITA GORDON FAIRCLOTH
7709 ORANGE GROVE RD
CHAPEL HILL, NC 27516-8877
Phone number: 919-883-7503
Copy
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