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1578740924
SUZANNE ELLIS MIKKELSON
FAYETTEVILLE, NC
NPI
1578740924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 904)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
-- SUZANNE ELLIS MIKKELSON M.A.
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305-5306
Phone number: 910-484-0176
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Mailing Address
-- SUZANNE ELLIS MIKKELSON M.A.
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305-5306
Phone number: 910-484-0176
Copy
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