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Counselor, School in Lumberton, NC. Organization (NPI-2).
NPI number1972913358
StatusActive
Last updated in NPPESMay 6, 2014
Details
- NPI
- 1972913358
- Entity type
- Organization (NPI-2)
- Legal business name
- Add Flavour
- Organization subpart
- No
- Enumeration date
- May 6, 2014
- Last updated
- May 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YS0200X | Counselor, School | PGP-0640442 | VA | Yes |
Practice location
1710 Michigan CirLumberton, NC 28358-7129
Phone 540-416-9235
Mailing address
1710 Michigan CirLumberton, NC 28358-7129
Phone 540-416-9235
Authorized official
Debra Rogers
Case Manager
5404169235
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