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1437417243
LISA MICHELLE KORNEGAY
ZEBULON, NC
NPI
1437417243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1921)
Enumeration Date
2012-04-30
Last Update Date
2020-08-04
Business Address
LISA MICHELLE KORNEGAY LCAS
877 E GANNON AVE STE 103
ZEBULON, NC 27597-9445
Phone number: 314-496-2568
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Mailing Address
LISA MICHELLE KORNEGAY LCAS
877 E GANNON AVE STE 103
ZEBULON, NC 27597-9445
Phone number: 314-496-2568
Copy
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