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1902538358
JESSICA RAQUEL LANE
SANFORD, NC
NPI
1902538358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC A17479)
Enumeration Date
2022-06-25
Last Update Date
2022-06-25
Business Address
MS. JESSICA RAQUEL LANE LCMHCA
607 WICKER ST
SANFORD, NC 27330-4151
Phone number: 910-658-5394
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Mailing Address
MS. JESSICA RAQUEL LANE LCMHCA
607 WICKER ST
SANFORD, NC 27330-4151
Phone number: 910-658-5394
Copy
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