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1417321563
KELLIE MICHELLE ROSS
FAYETTEVILLE, NC
NPI
1417321563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-A-21914)
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
-- KELLIE MICHELLE ROSS LCAS-A
6819 KIZER DR
FAYETTEVILLE, NC 28314-5427
Phone number: 252-290-2685
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Mailing Address
-- KELLIE MICHELLE ROSS LCAS-A
6819 KIZER DR
FAYETTEVILLE, NC 28314-5427
Phone number: 252-290-2685
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