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1780239756
LORRI UDOM
RAEFORD, NC
NPI
1780239756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC CO10834)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
LORRI UDOM
159 RED OAK CT
RAEFORD, NC 28376-7463
Phone number: 904-705-6405
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Mailing Address
LORRI UDOM
159 RED OAK CT
RAEFORD, NC 28376-7463
Phone number: 904-705-6405
Copy
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