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1790568129
CASSONDRA DANIELLE FAIRCLOTH
REIDSVILLE, NC
NPI
1790568129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19129)
Enumeration Date
2023-08-17
Last Update Date
2023-08-21
Business Address
CASSONDRA DANIELLE FAIRCLOTH MA, LCMHCA
227 W MOREHEAD ST STE 2
REIDSVILLE, NC 27320-3872
Phone number: 336-908-3927
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Mailing Address
CASSONDRA DANIELLE FAIRCLOTH MA, LCMHCA
2095 PINEY MOUNTAIN RD APT A
WALNUT COVE, NC 27052-7803
Phone number: 336-813-8523
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