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Organization
COVENANT OF LOVE MARRIAGE MINISTRY, LLC
Active
Organization
COVENANT OF LOVE MARRIAGE MINISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA PAYNE GREENE LCPC (LICENSED CLINICAL PASTORAL COUNSELO)
(336) 855-7912
Entity
Organization
Contact information
Practice address
2514 DENVER DR, GREENSBORO, NC 27406-6304
(336) 855-7912
(336) 852-9858
Mailing address
2514 DENVER DR, GREENSBORO, NC 27406-6304
(336) 855-7912
(336) 852-9858
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
0997348
NC
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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