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Individual

MR. KEVIN L DELOACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6111 CONAWAY DR, FAYETTEVILLE, NC 28314-2700
(910) 512-6760
Mailing address
6111 CONAWAY DR, FAYETTEVILLE, NC 28314-2700

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
08/12/2009
Last updated
08/12/2009
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