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1972251544
AUDREY ROSE JAENICKE
WILMINGTON, NC
NPI
1972251544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P107269)
Enumeration Date
2022-03-14
Last Update Date
2022-04-25
Business Address
AUDREY ROSE JAENICKE LCSWA
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-202-3155
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Mailing Address
AUDREY ROSE JAENICKE LCSWA
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number:
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