Provider Information for 1396382743
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LEQUOIA RENE BELL-PERSON LMHC
Sex: Female
NPI: 1396382743
Last Updated: 2023-10-24
Certification Date: 2023-10-23
Certification Date: 2023-10-23
Details
Name | Value | ||||||||||||
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NPI | 1396382743 | ||||||||||||
Enumeration Date | 2019-12-04 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1205 MASTERPIECE DR HOPE MILLS, NC 28348-7518 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 2817 ROCK MERRITT AVE STOP A FORT LIBERTY, NC 28310-5827 United States Phone: 910-907-8707 | Fax: | ||||||||||||
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