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1457124885
PHILLIP TRENT STATON
GREENSBORO, NC
NPI
1457124885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19209)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
PHILLIP TRENT STATON
604 MEADOW ST
GREENSBORO, NC 27405-6600
Phone number: 800-632-1400
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Mailing Address
PHILLIP TRENT STATON
PO BOX 14608
GREENSBORO, NC 27415-4608
Phone number: 336-709-5447
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