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1124658778
KELLEYANNE HELENE LONERGAN
SHALLOTTE, NC
NPI
1124658778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-01-23
Last Update Date
2022-06-28
Business Address
KELLEYANNE HELENE LONERGAN
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-617-0222
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Mailing Address
KELLEYANNE HELENE LONERGAN
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-617-0222
Copy
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