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1730673864
JAMAAL OTHIOSSINIR
BURLINGTON, NC
NPI
1730673864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P012508)
Enumeration Date
2018-06-21
Last Update Date
2018-06-21
Business Address
JAMAAL OTHIOSSINIR LCSW-A
2732 ANN ELIZABETH DR
BURLINGTON, NC 27215-5111
Phone number: 336-229-5905
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Mailing Address
JAMAAL OTHIOSSINIR LCSW-A
1131 EDINBURGH DR
JAMESTOWN, NC 27282-9058
Phone number: 336-470-4791
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