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1306121959
GEVONNA ARDELL GRAVES-WORNEY
WINSTON SALEM, NC
NPI
1306121959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-22009)
Enumeration Date
2011-10-14
Last Update Date
2021-10-09
Business Address
Mrs. GEVONNA ARDELL GRAVES-WORNEY LCASA
5166 FARM HOUSE TRL
WINSTON SALEM, NC 27103-5394
Phone number: 336-829-4277
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Mailing Address
Mrs. GEVONNA ARDELL GRAVES-WORNEY LCASA
5166 FARM HOUSE TRL
WINSTON SALEM, NC 27103-5394
Phone number: 336-829-4277
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