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1548405525
ANTOINE LAMONT DALTON
WINSTON SALEM, NC
NPI
1548405525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Mr. ANTOINE LAMONT DALTON QSAP
163 STRATFORD CT
WINSTON SALEM, NC 27103-1836
Phone number: 336-580-3439
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Mailing Address
Mr. ANTOINE LAMONT DALTON QSAP
5455 STONE CROSSING DR
WINSTON SALEM, NC 27104-3744
Phone number: 336-580-3439
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