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1588220354
JASON TIMOTHY BRANCH
FAYETTEVILLE, NC
NPI
1588220354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P013388)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
JASON TIMOTHY BRANCH LCSWA
806 HAY ST
FAYETTEVILLE, NC 28305-5312
Phone number: 910-860-7008
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Mailing Address
JASON TIMOTHY BRANCH LCSWA
806 HAY ST
FAYETTEVILLE, NC 28305-5312
Phone number: 910-860-7008
Copy
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