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1215375563
QWENZELLA WYNN
LAURINBURG, NC
NPI
1215375563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2884A)
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
Miss QWENZELLA WYNN LCAS-A
12640 SOUTHWOOD DR
LAURINBURG, NC 28352
Phone number: 910-318-8555
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Mailing Address
Miss QWENZELLA WYNN LCAS-A
12640 SOUTHWOOD DR
LAURINBURG, NC 28352-8685
Phone number: 910-318-8555
Copy
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