Individual
JACKIE LLOYD HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 DEDHAM CT, GREENSBORO, NC 27407-6304
(336) 420-3733
Mailing address
1505 DEDHAM CT, GREENSBORO, NC 27407-6304
(336) 420-3733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A14304
NC
Other
Enumeration date
10/17/2018
Last updated
10/25/2018
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