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1598018335
DORETTA JACOBS
LUMBERTON, NC
NPI
1598018335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 2743a)
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
-- DORETTA JACOBS
3581 LACKEY ST
LUMBERTON, NC 28360-9048
Phone number: 910-738-5023
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Mailing Address
-- DORETTA JACOBS
3581 LACKEY ST
LUMBERTON, NC 28360-9048
Phone number: 910-738-5023
Copy
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