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1104320399
TIA PORTERFIELD
FAYETTEVILLE, NC
NPI
1104320399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC A13200)
Enumeration Date
2018-03-21
Last Update Date
2019-07-24
Business Address
MS. TIA PORTERFIELD
2018 FORT BRAGG RD STE 112A
FAYETTEVILLE, NC 28303
Phone number: 910-827-6594
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Mailing Address
MS. TIA PORTERFIELD
710 EMERALD DR
FAYETTEVILLE, NC 28311-1815
Phone number: 910-286-4042
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