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1366899247
LUCRETIA GLASS-WOOTEN
ROCKY MOUNT, NC
NPI
1366899247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-22568)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- LUCRETIA GLASS-WOOTEN
209 N PEARL ST
ROCKY MOUNT, NC 27804-5426
Phone number: 252-937-3016
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Mailing Address
-- LUCRETIA GLASS-WOOTEN
PO BOX 4532
ROCKY MOUNT, NC 27803-0532
Phone number: 252-937-3016
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