JON WAYNE ECCLESTON

INDIAN TRAIL, NC
NPI1306937750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  C004734)
Enumeration Date2006-09-28
Last Update Date2011-09-21
Business Address
MR. JON WAYNE ECCLESTON LCSW
124 UNIONVILLE INDIAN TRL RD W SUITE A1
INDIAN TRAIL, NC 28079-5591
Phone number: 704-608-0445
Mailing Address
MR. JON WAYNE ECCLESTON LCSW
124 UNIONVILLE INDIAN TRL RD W SUITE A1
INDIAN TRAIL, NC 28079-5591
Phone number: 704-608-0445
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