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1154104354
ANNETTE TYLER HUMPHREY
FAYETTEVILLE, NC
NPI
1154104354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 26742)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
Mrs. ANNETTE TYLER HUMPHREY
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-900-6333
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Mailing Address
Mrs. ANNETTE TYLER HUMPHREY
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-900-6333
Copy
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