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1891045753
CIJI LATRICE BLUE
FAYETTEVILLE, NC
NPI
1891045753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C009062)
Enumeration Date
2012-09-18
Last Update Date
2014-10-02
Business Address
-- CIJI LATRICE BLUE LCSWA
6319 RAEFORD RD APT 71
FAYETTEVILLE, NC 28304-2838
Phone number: 919-760-3026
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Mailing Address
-- CIJI LATRICE BLUE LCSWA
PO BOX 26269
FAYETTEVILLE, NC 28314-5021
Phone number: 919-760-3026
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