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1396177002
KATELYN RAE GODLEY
NEW BERN, NC
NPI
1396177002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 3403-A)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
-- KATELYN RAE GODLEY LCAS-A
1309 TATUM DR
NEW BERN, NC 28560-4314
Phone number: 252-672-8742
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Mailing Address
-- KATELYN RAE GODLEY LCAS-A
4300 SAPPHIRE CT STE 110
GREENVILLE, NC 27834-9079
Phone number: 252-830-7540
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