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1447769427
ERIN L KISHPAUGH
STATESVILLE, NC
NPI
1447769427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 23591)
Enumeration Date
2017-09-22
Last Update Date
2017-09-22
Business Address
ERIN L KISHPAUGH LCAS-A
536 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4391
Phone number: 704-872-0234
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Mailing Address
ERIN L KISHPAUGH LCAS-A
PO BOX 1545
STATESVILLE, NC 28687-1545
Phone number: 704-872-0234
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