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1972984664
AMANDA SHEPHERD
FAYETTEVILLE, NC
NPI
1972984664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21769)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- AMANDA SHEPHERD
911 HAY ST
FAYETTEVILLE, NC 28305-5313
Phone number: 910-853-7318
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Mailing Address
-- AMANDA SHEPHERD
911 HAY ST
FAYETTEVILLE, NC 28305-5313
Phone number: 910-853-7318
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