Organization
A CLEAR LOOK COACHING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA WILSON (DIRECTOR)
(910) 747-6543
Entity
Organization
Contact information
Practice address
910 HAY ST, FAYETTEVILLE, NC 28305-5314
(910) 747-6543
Mailing address
PO BOX 3163, FAYETTEVILLE, NC 28302-3163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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