LAVERNE BERNETTE CANNON

GREENVILLE, NC
NPI1982151460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3503A)
Enumeration Date2016-09-01
Last Update Date2016-09-07
Business Address
-- LAVERNE BERNETTE CANNON LCASA
2152 FLAGSTONE CT APT M4
GREENVILLE, NC 27834-8794
Phone number: 252-902-7184
Mailing Address
-- LAVERNE BERNETTE CANNON LCASA
2152 M4 FLAGSTONE COURT
GREENVILLE, NC 27834
Phone number: 252-902-7184
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