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1760013767
KENON LEVAR MCCORKLE
SALISBURY, NC
NPI
1760013767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-29
Last Update Date
2021-06-22
Business Address
KENON LEVAR MCCORKLE
1504 JAKE ALEXANDER BLVD W
SALISBURY, NC 28147-1213
Phone number: 704-645-8540
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Mailing Address
KENON LEVAR MCCORKLE
1504 JAKE ALEXANDER BLVD W
SALISBURY, NC 28147-1213
Phone number: 704-645-8540
Copy
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