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1255574448
AMY E. SOUTHWORTH
FAYETTEVILLE, NC
NPI
1255574448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 3114)
Enumeration Date
2009-04-17
Last Update Date
2009-04-17
Business Address
MRS. AMY E. SOUTHWORTH
3409 CONNECTION RD
FAYETTEVILLE, NC 28311
Phone number: 910-488-1816
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Mailing Address
MRS. AMY E. SOUTHWORTH
3708 HEATHER BROOKE DR
FAYETTEVILLE, NC 28306-9718
Phone number: 910-423-3635
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