Provider Information for 1295170033
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CONNIE KRETCHMAR LPC
Sex: Female
NPI: 1295170033
Last Updated: 2015-06-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295170033 | ||||||||
| Enumeration Date | 2013-05-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4 APAWAMIS RD PINEHURST, NC 28374-9049 United States Phone: 919-636-8200 | Fax: | ||||||||
| Primary Practice Address | 200 TARPON TRL JACKSONVILLE, NC 28546-5287 United States Phone: 910-429-1114 | Fax:910-938-1118 | ||||||||
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