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Individual

MRS. GEORGETTE MARIE HARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
1555 MEADOWVIEW DR STE 5-6, DANVILLE, VA 24541-7351
(877) 848-9810
Mailing address
419 FAIRMONT DR, EDEN, NC 27288-2800
(757) 559-5482

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2046
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6112347
NC
Enumeration date
01/03/2012
Last updated
02/07/2025
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