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1851753941
LISA KING
RALEIGH, NC
NPI
1851753941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 22544-A)
Enumeration Date
2016-03-28
Last Update Date
2017-03-13
Business Address
-- LISA KING
1804 CYNTHIA PL
RALEIGH, NC 27610-3534
Phone number: 919-669-0004
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Mailing Address
-- LISA KING
1804 CYNTHIA PL
RALEIGH, NC 27610-3534
Phone number:
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