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1730401597
MEISSA DAVIS BROCK
RALEIGH, NC
NPI
1730401597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 921)
Enumeration Date
2010-02-22
Last Update Date
2011-05-19
Business Address
Mrs. MEISSA DAVIS BROCK LCAS
1041 WASHINGTON ST
RALEIGH, NC 27605-1259
Phone number: 888-305-4321
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Mailing Address
Mrs. MEISSA DAVIS BROCK LCAS
101 MCKAYLA LN
GOLDSBORO, NC 27530-9277
Phone number: 919-735-6771
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