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1740668748
PENNY GAYLE LILES
WINSTON SALEM, NC
NPI
1740668748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A11493)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- PENNY GAYLE LILES LPC-A, CRC
4140 CHERRY ST
WINSTON SALEM, NC 27105-2536
Phone number: 336-448-2737
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Mailing Address
-- PENNY GAYLE LILES LPC-A, CRC
4140 N. CHERRY STREET
WINSTON SALEM, NC 27105
Phone number: 336-448-2737
Copy
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