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1295281483
TARA ELISE LONGMIRE
FAYETTEVILLE, NC
NPI
1295281483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-23175)
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
TARA ELISE LONGMIRE MS, LCAS-A
2018 FORT BRAGG RD # 124
FAYETTEVILLE, NC 28303-7037
Phone number: 910-485-3332
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Mailing Address
TARA ELISE LONGMIRE MS, LCAS-A
2018 FORT BRAGG RD # 124
FAYETTEVILLE, NC 28303-7037
Phone number: 850-376-4649
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