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1396051645
EARLE ANGELYN FANLO
GREENVILLE, NC
NPI
1396051645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
MS. EARLE ANGELYN FANLO MS, LCAS-P
2602 COURTIER DR
GREENVILLE, NC 27834-7818
Phone number: 252-355-4725
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Mailing Address
MS. EARLE ANGELYN FANLO MS, LCAS-P
1916 ROSEMONT DR APT 44
GREENVILLE, NC 27858-7906
Phone number: 919-931-6882
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