LISA MICHELLE BAZEMORE

WASHINGTON, NC
NPI1144919036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  LCAS-20667)
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
LISA MICHELLE BAZEMORE LCAS-A
216 STEWART PKWY
WASHINGTON, NC 27889-4972
Phone number: 252-946-0585
Mailing Address
LISA MICHELLE BAZEMORE LCAS-A
351 US 13-17 SOUTH
WINDSOR, NC 27983
Phone number: 252-794-4393
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