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1376094904
CHARLIE CLEMONS
GREENSBORO, NC
NPI
1376094904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20133)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
Mr. CHARLIE CLEMONS LCAS-A
709 E MARKET ST STE 100B
GREENSBORO, NC 27401-3282
Phone number: 336-378-0109
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Mailing Address
Mr. CHARLIE CLEMONS LCAS-A
181 VIRGINIA AVE
DANVILLE, VA 24541-3761
Phone number: 336-259-0272
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