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1306526348
MARK E LATTIMORE
FOREST CITY, NC
NPI
1306526348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-29161)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
MARK E LATTIMORE M.Div, LCASA
143 OLD WAGY RD
FOREST CITY, NC 28043-9466
Phone number: 828-447-2477
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Mailing Address
MARK E LATTIMORE M.Div, LCASA
191 WALKALOOSA WAY
MOORESBORO, NC 28114-7830
Phone number: 828-447-2477
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