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Organization

SALLY LEWIS GRANT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SALLY L GRANT LCAS (OWNER)
(919) 920-3910
Entity
Organization

Contact information

Practice address
2500 PEACHTREE ST, GOLDSBORO, NC 27534-4312
(919) 920-3910
Mailing address
PO BOX 10174, GOLDSBORO, NC 27532-0174
(919) 920-3910

Taxonomy

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

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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