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1992287858
DESMOND MCCOY
LUMBERTON, NC
NPI
1992287858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-24467)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
DESMOND MCCOY
4701 FAYETTEVILLE RD
LUMBERTON, NC 28358-2697
Phone number: 910-370-0776
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Mailing Address
DESMOND MCCOY
1720 LOCKLEAR RD
PEMBROKE, NC 28372-8582
Phone number:
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