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1376111740
JOHNATHON RAYMOND RUSH
FAYETTEVILLE, NC
NPI
1376111740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016751)
Enumeration Date
2021-06-14
Last Update Date
2022-01-28
Business Address
Mr. JOHNATHON RAYMOND RUSH LCSWA
6885 CLIFFDALE RD STE 202
FAYETTEVILLE, NC 28314-2834
Phone number: 910-339-0400
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Mailing Address
Mr. JOHNATHON RAYMOND RUSH LCSWA
3205 CRAGBURN PL
FAYETTEVILLE, NC 28306-6404
Phone number: 513-267-9002
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