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1801171400
VANESSA NIKITTA BLACKWELL
GREENSBORO, NC
NPI
1801171400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1653)
Enumeration Date
2011-10-14
Last Update Date
2012-09-28
Business Address
-- VANESSA NIKITTA BLACKWELL LCAS
301 E. WASHINGTON ST SUITE 101
GREENSBORO, NC 27401-2993
Phone number: 336-333-6860
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Mailing Address
-- VANESSA NIKITTA BLACKWELL LCAS
301 E. WASHINGTON ST SUITE 101
GREENSBORO, NC 27401-2993
Phone number: 336-333-6860
Copy
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