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1770041592
JOHNNIE LEFUEL WILSON
FAYETTEVILLE, NC
NPI
1770041592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC A25300)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
MR. JOHNNIE LEFUEL WILSON LCASA
6307 MELODY LN
FAYETTEVILLE, NC 28304-5554
Phone number: 910-627-7210
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Mailing Address
MR. JOHNNIE LEFUEL WILSON LCASA
6307 MELODY LN
FAYETTEVILLE, NC 28304-5554
Phone number: 910-627-7210
Copy
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