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1497216667
LARRY LAMONT JOE
WINSTON SALEM, NC
NPI
1497216667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
LARRY LAMONT JOE
1348 WESTGATE CENTER DR STE 204
WINSTON SALEM, NC 27103-2984
Phone number: 336-341-5354
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Mailing Address
LARRY LAMONT JOE
307 WEAVER DR
LEXINGTON, NC 27292-4745
Phone number: 336-575-8156
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