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1164052064
STEPHANIE MELISSA DIXON
FAYETTEVILLE, NC
NPI
1164052064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-26231)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
STEPHANIE MELISSA DIXON LCAS
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-864-8739
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Mailing Address
STEPHANIE MELISSA DIXON LCAS
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-864-8739
Copy
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