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1497077861
MARK S SUDEKUM
GREENVILLE, NC
NPI
1497077861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 1578)
Enumeration Date
2010-02-25
Last Update Date
2015-07-20
Business Address
MR. MARK S SUDEKUM LCAS; LCSW
2602 COURTIER DR
GREENVILLE, NC 27834-7818
Phone number: 252-752-0483
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Mailing Address
MR. MARK S SUDEKUM LCAS; LCSW
4300 SAPPHIRE CT STE 110
GREENVILLE, NC 27834-9079
Phone number: 252-830-7561
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