Provider Information for 1235383878
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Ms. KAREN D NANCE LPC, NCC
Sex: Female
NPI: 1235383878
Last Updated: 2018-07-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235383878 | ||||||||
| Enumeration Date | 2008-11-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3574 STACY CIR LUMBERTON, NC 28358-2756 United States Phone: 910-377-1889 | Fax: | ||||||||
| Primary Practice Address | 1384 LINKHAW RD LUMBERTON, NC 28358 United States Phone: 910-377-1889 | Fax: | ||||||||
| Secondary Practice Address(es) | 200 TARPON TRL | ||||||||
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