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Individual

MR. LAWRENCE LESTER WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA COUNSELOR

Contact information

Practice address
109 KANDEMOR LN, ROCKY MOUNT, NC 27804-3212
(252) 937-7676
(252) 937-7680
Mailing address
PO BOX 1152, SHARPSBURG, NC 27878-1152
(252) 314-2900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6110563
NC
Enumeration date
02/17/2007
Last updated
07/08/2007
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