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Individual

MR. JONATHAN LACEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 N MANGUM ST STE 104, DURHAM, NC 27701-2260
(919) 450-6446
(888) 227-5443
Mailing address
800 N MANGUM ST STE 104, DURHAM, NC 27701-2260
(919) 450-6446
(888) 227-5443

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/03/2014
Last updated
01/03/2014
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