LILLY MARIE SHORTER

PEMBROKE, NC
NPI1154715027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS 21705)
Enumeration Date2015-03-27
Last Update Date2018-05-23
Business Address
LILLY MARIE SHORTER LCAS 21705
86 THREE HUNT DRIVE
PEMBROKE, NC 28372
Phone number: 910-522-0408
Mailing Address
LILLY MARIE SHORTER LCAS 21705
116 GRANGER RD
RAEFORD, NC 28376-8060
Phone number: 910-578-3134
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