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1790820983
KELLY MILES LISTER
ZEBULON, NC
NPI
1790820983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003281)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Mrs. KELLY MILES LISTER MSW
1300 N ARENDELL AVE
ZEBULON, NC 27597-8732
Phone number: 919-796-7189
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Mailing Address
Mrs. KELLY MILES LISTER MSW
1300 N ARENDELL AVE
ZEBULON, NC 27597-8732
Phone number:
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