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1174020333
MARY-JACQUELINE DELORES KERSEY
GASTONIA, NC
NPI
1174020333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 25600-A)
Enumeration Date
2018-04-12
Last Update Date
2020-12-11
Business Address
MARY-JACQUELINE DELORES KERSEY LCSWA
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-332-9001
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Mailing Address
MARY-JACQUELINE DELORES KERSEY LCSWA
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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