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1871153197
JESSICA CHENILLE LAZENBY
SALISBURY, NC
NPI
1871153197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P013624)
Enumeration Date
2019-06-18
Last Update Date
2019-10-21
Business Address
JESSICA CHENILLE LAZENBY
2129 STATESVILLE BLVD
SALISBURY, NC 28147-1411
Phone number: 704-633-3616
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Mailing Address
JESSICA CHENILLE LAZENBY
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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