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1336375062
KYLIE PHARES DOTSON-BLAKE
GREENVILLE, NC
NPI
1336375062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC 4986)
Additional Taxonomies
101YS0200X Counselor School
Enumeration Date
2009-06-09
Last Update Date
2009-06-09
Business Address
DR. KYLIE PHARES DOTSON-BLAKE PHD, LPC, NCC
EAST FIFTH STREET 223A RAGSDALE EAST CAROLINA UNIVERSITY/COAD DEPT
GREENVILLE, NC 27858-4353
Phone number: 252-328-5277
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Mailing Address
DR. KYLIE PHARES DOTSON-BLAKE PHD, LPC, NCC
EAST FIFTH STREET 223A RAGSDALE EAST CAROLINA UNIVERSITY/COAD DEPT
GREENVILLE, NC 27858-4353
Phone number: 252-328-5277
Copy
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