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1346586971
KEVIN EUGENE GRAHAM
LUMBERTON, NC
NPI
1346586971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2915)
Enumeration Date
2012-12-31
Last Update Date
2016-04-28
Business Address
Mr. KEVIN EUGENE GRAHAM MSW, LCAS
117 CHARLES ST
LUMBERTON, NC 28358-4538
Phone number: 910-241-9108
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Mailing Address
Mr. KEVIN EUGENE GRAHAM MSW, LCAS
117 CHARLES ST
LUMBERTON, NC 28358-4538
Phone number: 910-241-9108
Copy
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