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1285126557
JACQUELINE DAVIS
REIDSVILLE, NC
NPI
1285126557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 14350)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
JACQUELINE DAVIS
1309 NORTHUP ST STE F
REIDSVILLE, NC 27320-5611
Phone number: 336-312-7761
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Mailing Address
JACQUELINE DAVIS
1309 NORTHUP ST
REIDSVILLE, NC 27320-5611
Phone number: 336-312-7761
Copy
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