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1154947125
MISTY DAWN HUMPHRIES
BURLINGTON, NC
NPI
1154947125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15771)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
MISTY DAWN HUMPHRIES LCHMC-A, NCC
1205 S MAIN ST
BURLINGTON, NC 27215-5762
Phone number: 336-270-9278
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Mailing Address
MISTY DAWN HUMPHRIES LCHMC-A, NCC
155 RETREAT LN APT 1F
BURLINGTON, NC 27215-8541
Phone number: 336-270-9278
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