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1619418217
JERUSHA CHAMP
BUTNER, NC
NPI
1619418217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C008716)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
JERUSHA CHAMP
100 W H ST
BUTNER, NC 27509-1605
Phone number: 919-575-7625
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Mailing Address
JERUSHA CHAMP
100 W H ST
BUTNER, NC 27509-1605
Phone number: 919-575-7625
Copy
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