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1649031022
MARTICA BACALLAO
LUMBERTON, NC
NPI
1649031022
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Former Name
MARTICA KRAEMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC C015288)
Enumeration Date
2024-01-22
Last Update Date
2024-04-13
Business Address
MARTICA BACALLAO Ph.D. LCSW
900 N CHESTNUT ST
LUMBERTON, NC 28358-4854
Phone number: 910-739-3064
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Mailing Address
MARTICA BACALLAO Ph.D. LCSW
900 N CHESTNUT ST
LUMBERTON, NC 28358-4854
Phone number: 910-739-3064
Copy
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