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1215194741
JIMMY BELLAMY
WILMINGTON, NC
NPI
1215194741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC NCSAPPB817)
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
Mr. JIMMY BELLAMY LCAS
4231 PRINCESS PLACE DR
WILMINGTON, NC 28405-3589
Phone number: 910-264-5045
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Mailing Address
Mr. JIMMY BELLAMY LCAS
PO BOX 12221
DURHAM, NC 27709-2221
Phone number: 910-264-5045
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