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1376108191
CLINTON JAMIE EDWARDS
MOUNT AIRY, NC
NPI
1376108191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-2133)
Enumeration Date
2019-05-07
Last Update Date
2022-03-07
Business Address
MR. CLINTON JAMIE EDWARDS MA, M.ED, LCAS, CSI
1151 W LEBANON ST STE 200
MOUNT AIRY, NC 27030-2225
Phone number: 276-728-6703
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Mailing Address
MR. CLINTON JAMIE EDWARDS MA, M.ED, LCAS, CSI
6776 SNAKE CREEK RD
HILLSVILLE, VA 24343-4586
Phone number: 276-728-6703
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