AVIS M ODOM

WHITEVILLE, NC
NPI1295070639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-21133)
Enumeration Date2012-12-11
Last Update Date2015-05-26
Business Address
-- AVIS M ODOM LCAS-A
1409 PINCKNEY ST
WHITEVILLE, NC 28472-2220
Phone number: 910-641-0600
Mailing Address
-- AVIS M ODOM LCAS-A
1409 PINCKNEY ST
WHITEVILLE, NC 28472-2220
Phone number: 910-641-0600
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