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1316055080
ROXANNE ROST ELLINGTON
DURHAM, NC
NPI
1316055080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 339)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- ROXANNE ROST ELLINGTON LCAS
402 TRENT DRIVE
DURHAM, NC 27705
Phone number: 919-668-5559
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Mailing Address
-- ROXANNE ROST ELLINGTON LCAS
PO BOX 2906
DURHAM, NC 27710
Phone number: 919-668-4498
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