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Organization
SELF EXPRESSION INTERACTIVE SERVICES
Active
Organization
SELF EXPRESSION INTERACTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA METRICE WARD (REGIONAL DIRECTOR)
(252) 347-3163
Entity
Organization
Contact information
Practice address
3015 S MEMORIAL DR, SUITE D, GREENVILLE, NC 27834-6224
(252) 347-3163
Mailing address
3015 S MEMORIAL DR, SUITE D, GREENVILLE, NC 27834-6224
(252) 347-3163
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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