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1154445609
BARDEN GRIMES
LUMBERTON, NC
NPI
1154445609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 707)
Enumeration Date
2007-03-19
Last Update Date
2007-07-09
Business Address
Mr. BARDEN GRIMES LCAS.,CCS
3750 MEADOW VIEW RD
LUMBERTON, NC 28358-1920
Phone number: 910-618-9912
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Mailing Address
Mr. BARDEN GRIMES LCAS.,CCS
3750 MEADOW VIEW RD
LUMBERTON, NC 28358-1920
Phone number: 910-618-9912
Copy
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