JERRY WAYNE GUY

CHARLOTTE, NC
NPI1356711246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  21555)
Enumeration Date2015-10-05
Last Update Date2015-10-05
Business Address
Mr. JERRY WAYNE GUY LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
Mailing Address
Mr. JERRY WAYNE GUY LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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