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1124524400
GRACE WOLF
JACKSONVILLE, NC
NPI
1124524400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A12562)
Enumeration Date
2018-04-04
Last Update Date
2021-04-23
Business Address
GRACE WOLF MS, CRC, QP, LPCA
215 MEMORIAL DR
JACKSONVILLE, NC 28546-6333
Phone number: 910-378-4809
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Mailing Address
GRACE WOLF MS, CRC, QP, LPCA
121 S QUEEN ST
KINSTON, NC 28501-4933
Phone number: 910-298-7167
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