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1962601104
WINSTON GRANT LASSITER
MONROE, NC
NPI
1962601104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-07-17
Last Update Date
2007-11-02
Business Address
WINSTON GRANT LASSITER LCAS
1190 W ROOSEVELT BLVD
MONROE, NC 28110-2818
Phone number: 704-296-6200
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Mailing Address
WINSTON GRANT LASSITER LCAS
1305 S CANNON BLVD
KANNAPOLIS, NC 28083-6232
Phone number:
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