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1326421058
KEITH LEO HINES
FAYETTEVILLE, NC
NPI
1326421058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 20450)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
Mr. KEITH LEO HINES MA, QP LCASA
5969 LAGUNA DR
FAYETTEVILLE, NC 28314-0929
Phone number: 910-527-7388
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Mailing Address
Mr. KEITH LEO HINES MA, QP LCASA
5969 LAGUNA DR
FAYETTEVILLE, NC 28314-0929
Phone number:
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