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1366763401
JENNIFER LUCAS
CHARLOTTE, NC
NPI
1366763401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC 2164)
Enumeration Date
2010-06-11
Last Update Date
2010-06-15
Business Address
-- JENNIFER LUCAS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
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Mailing Address
-- JENNIFER LUCAS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number:
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