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1578758173
LARRY WAYNE FREEMAN
WINSTON SALEM, NC
NPI
1578758173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 343)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
Dr. LARRY WAYNE FREEMAN D.Min.
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-713-7710
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Mailing Address
Dr. LARRY WAYNE FREEMAN D.Min.
1004 WESSYNGTON RD
WINSTON SALEM, NC 27104-1232
Phone number: 336-768-6888
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