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1851712137
JONATHAN LACEWELL
DURHAM, NC
NPI
1851712137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
Mr. JONATHAN LACEWELL
800 N MANGUM ST STE 104
DURHAM, NC 27701-2260
Phone number: 919-450-6446
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Mailing Address
Mr. JONATHAN LACEWELL
800 N MANGUM ST STE 104
DURHAM, NC 27701-2260
Phone number: 919-450-6446
Copy
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