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1962536300
KELLY CLEON HENSON
RALEIGH, NC
NPI
1962536300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 506)
Enumeration Date
2007-03-16
Last Update Date
2016-11-16
Business Address
Mr. KELLY CLEON HENSON lcas
3826 BLAND RD
RALEIGH, NC 27609-6239
Phone number: 919-740-8428
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Mailing Address
Mr. KELLY CLEON HENSON lcas
281 KENTUCKY DR
CLAYTON, NC 27527-6272
Phone number: 919-740-8428
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