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1952679011
TERRY LAMONT SPELLER
WINTERVILLE, NC
NPI
1952679011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-12-05
Last Update Date
2012-10-23
Business Address
MR. TERRY LAMONT SPELLER LCAS-A
482 WILLIAMSTON DRIVE
WINTERVILLE, NC 28590-9514
Phone number: 252-347-3950
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Mailing Address
MR. TERRY LAMONT SPELLER LCAS-A
482 WILLIAMSTON DR
WINTERVILLE, NC 28590-9415
Phone number: 252-347-3950
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