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1366567216
LISA ANN BEVINS
WILMINGTON, NC
NPI
1366567216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC LPC-4405)
Enumeration Date
2007-03-20
Last Update Date
2010-08-17
Business Address
-- LISA ANN BEVINS LPC
613 ALABAMA AVE
WILMINGTON, NC 28401-6803
Phone number: 910-815-6948
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Mailing Address
-- LISA ANN BEVINS LPC
2029 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-798-6587
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