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1447994199
LIONEL TYRONE BRANCHE
HENDERSON, NC
NPI
1447994199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-27960)
Enumeration Date
2022-04-27
Last Update Date
2022-05-05
Business Address
LIONEL TYRONE BRANCHE
943 W ANDREWS AVE
HENDERSON, NC 27536-2516
Phone number: 252-433-0061
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Mailing Address
LIONEL TYRONE BRANCHE
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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