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1154671840
PHILLIP HIRACHETA
FORT LIBERTY, NC
NPI
1154671840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C008332)
Enumeration Date
2012-09-11
Last Update Date
2024-11-22
Business Address
PHILLIP HIRACHETA LCSW
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310-7037
Phone number: 910-907-8499
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Mailing Address
PHILLIP HIRACHETA LCSW
2817 ROCK MERRITT
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8499
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