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1558790840
KELLY WAITE
FAYETTEVILLE, NC
NPI
1558790840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NC P008010)
Enumeration Date
2013-11-06
Last Update Date
2017-01-24
Business Address
-- KELLY WAITE LCSWA
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number: 910-488-2120
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Mailing Address
-- KELLY WAITE LCSWA
2724 OLIVIA RD
SANFORD, NC 27332-3241
Phone number: 919-352-5196
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