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1285379040
JAQUAIN JERRY LEYCOCK
OXFORD, NC
NPI
1285379040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017344)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
Mr. JAQUAIN JERRY LEYCOCK lCSWA
6637 HICKSBORO RD
OXFORD, NC 27565-5783
Phone number: 718-200-0555
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Mailing Address
Mr. JAQUAIN JERRY LEYCOCK lCSWA
6637 HICKSBORO RD
OXFORD, NC 27565-5783
Phone number: 718-200-0555
Copy
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