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1316606833
ASSA DANELLE LANE
FAYETTEVILLE, NC
NPI
1316606833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-27551)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
Ms. ASSA DANELLE LANE lcas-a
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-378-3470
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Mailing Address
Ms. ASSA DANELLE LANE lcas-a
10611 LANIER CLUB DR APT 305
RALEIGH, NC 27617-8550
Phone number: 919-614-5462
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