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1356900898
KENDAL SIMEON BROWN
WINSTON SALEM, NC
NPI
1356900898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-25015)
Enumeration Date
2019-06-09
Last Update Date
2019-06-09
Business Address
KENDAL SIMEON BROWN LCAS
4830 TUTELO TRL
WINSTON SALEM, NC 27127-9419
Phone number: 540-629-3308
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Mailing Address
KENDAL SIMEON BROWN LCAS
4830 TUTELO TRL
WINSTON SALEM, NC 27127-9419
Phone number: 540-629-3308
Copy
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