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1265823611
TANYA MCKOY-SUTTON
RALEIGH, NC
NPI
1265823611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 21154)
Enumeration Date
2015-02-06
Last Update Date
2016-08-09
Business Address
-- TANYA MCKOY-SUTTON LCAS-A
2000 YONKERS RD
RALEIGH, NC 27604-2258
Phone number: 919-931-2704
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Mailing Address
-- TANYA MCKOY-SUTTON LCAS-A
1113 PENNCROSS DR
RALEIGH, NC 27610-6065
Phone number: 919-931-2704
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