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1275906729
TANISHA LATRICE CHERRY
KINSTON, NC
NPI
1275906729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS21300)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- TANISHA LATRICE CHERRY LCASA
2901 N HERRITAGE ST
KINSTON, NC 28501-1581
Phone number: 252-233-2383
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Mailing Address
-- TANISHA LATRICE CHERRY LCASA
4300 SAPPHIRE CT STE 110
GREENVILLE, NC 27834-9079
Phone number: 252-830-7561
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