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1437566270
KENNER JESSUP
LUMBERTON, NC
NPI
1437566270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
-- KENNER JESSUP LCAS-A
2003 GODWIN AVE
LUMBERTON, NC 28358-3149
Phone number: 910-671-1111
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Mailing Address
-- KENNER JESSUP LCAS-A
2003 GODWIN AVE
LUMBERTON, NC 28358-3149
Phone number:
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