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1104198035
TINA LYNNE DAVIS
JACKSONVILLE, NC
NPI
1104198035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 9220)
Enumeration Date
2012-02-08
Last Update Date
2013-01-10
Business Address
-- TINA LYNNE DAVIS MS, LPC
165 CENTER ST
JACKSONVILLE, NC 28546-5708
Phone number: 910-550-4836
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Mailing Address
-- TINA LYNNE DAVIS MS, LPC
315 OTTER CREEK CT
RICHLANDS, NC 28574-8441
Phone number: 518-368-8409
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