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1912096181
KENT C TRADER
FAYETTEVILLE, NC
NPI
1912096181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P003587)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mr. KENT C TRADER MSW, PLCSW
711 EXECUTIVE PL 214
FAYETTEVILLE, NC 28305-5193
Phone number: 919-323-2311
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Mailing Address
Mr. KENT C TRADER MSW, PLCSW
3154 STEPHENSON RD
ANGIER, NC 27501-8165
Phone number: 919-207-0393
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