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1932400959
KATHY J. SELF-CREGO
GASTONIA, NC
NPI
1932400959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
Mrs. KATHY J. SELF-CREGO CSAC (Certified Subs
520 UNION RD
GASTONIA, NC 28054-4450
Phone number: 704-868-8328
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Mailing Address
Mrs. KATHY J. SELF-CREGO CSAC (Certified Subs
520 UNION RD.
GASTONIA, NC 28054-4450
Phone number: 704-868-8328
Copy
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