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1912630211
CALLIE JEAN BODENHAMER
ASHEBORO, NC
NPI
1912630211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 27155)
Enumeration Date
2022-07-05
Last Update Date
2022-11-27
Business Address
Ms. CALLIE JEAN BODENHAMER LCAS-A
110 W WALKER AVE
ASHEBORO, NC 27203-6760
Phone number: 336-633-7000
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Mailing Address
Ms. CALLIE JEAN BODENHAMER LCAS-A
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1173
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