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1356711246
JERRY WAYNE GUY
GASTONIA, NC
NPI
1356711246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 21555)
Enumeration Date
2015-10-05
Last Update Date
2025-05-28
Business Address
Mr. JERRY WAYNE GUY LCASA
310 W 3RD AVE
GASTONIA, NC 28052-4004
Phone number: 980-285-4347
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Mailing Address
Mr. JERRY WAYNE GUY LCASA
1051 OBARR DR
GASTONIA, NC 28054-6455
Phone number: 704-980-2854
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