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1265807648
JOHANNAH MARTIN
LUMBERTON, NC
NPI
1265807648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-29540)
Enumeration Date
2015-12-10
Last Update Date
2024-01-11
Business Address
JOHANNAH MARTIN LCAS, MA
2512B FAYETTEVILLE RD
LUMBERTON, NC 28358-3114
Phone number: 910-536-1689
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Mailing Address
JOHANNAH MARTIN LCAS, MA
2512B FAYETTEVILLE RD
LUMBERTON, NC 28358-3114
Phone number: 910-536-1689
Copy
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