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1134470768
JENNIFER WEICKUM
CLAYTON, NC
NPI
1134470768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 7824)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- JENNIFER WEICKUM
204 COLONIAL DR
CLAYTON, NC 27527-8739
Phone number: 919-879-8746
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Mailing Address
-- JENNIFER WEICKUM
204 COLONIAL DR
CLAYTON, NC 27527-8739
Phone number: 919-879-8746
Copy
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