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1295867067
KENNY HOUSE
WILMINGTON, NC
NPI
1295867067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 6110508)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- KENNY HOUSE
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-343-0145
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Mailing Address
-- KENNY HOUSE
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-343-0145
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