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1790826790
KATHRYN GRIM MATHIS
ELIZABETH CITY, NC
NPI
1790826790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1124)
Enumeration Date
2007-02-11
Last Update Date
2012-09-24
Business Address
Mrs. KATHRYN GRIM MATHIS LCAS, CSI
305 E MAIN ST
ELIZABETH CITY, NC 27909-4425
Phone number: 252-335-9400
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Mailing Address
Mrs. KATHRYN GRIM MATHIS LCAS, CSI
3810 WATERSIDE DR APT 302
ELIZABETH CITY, NC 27909-9739
Phone number: 910-386-8598
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