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1598992315
WAYNE ALEXANDER FONVIELLE
HENDERSON, NC
NPI
1598992315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 2360)
Enumeration Date
2009-06-18
Last Update Date
2009-06-18
Business Address
Mr. WAYNE ALEXANDER FONVIELLE M.A.
1724 GRAHAM AVE
HENDERSON, NC 27536-2904
Phone number: 252-436-2054
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Mailing Address
Mr. WAYNE ALEXANDER FONVIELLE M.A.
10605 COKESBURY LN
RALEIGH, NC 27614-6721
Phone number: 919-690-4130
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