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1386779825
KANESHA ELAYNE COLEMAN
WINSTON SALEM, NC
NPI
1386779825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2029)
Enumeration Date
2007-02-23
Last Update Date
2012-05-15
Business Address
-- KANESHA ELAYNE COLEMAN LCAS
930 N PATTERSON AVE
WINSTON SALEM, NC 27101-1546
Phone number: 336-722-9951
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Mailing Address
-- KANESHA ELAYNE COLEMAN LCAS
180 VISTA CT APT B
WINSTON SALEM, NC 27106-1967
Phone number:
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