| Jlarue, Pllc | |
|
103 Red Oak Ct Lumberton NC 28358-1112 | |
| (910) 633-1378 | |
| Not Available |
| Full Name | Jlarue, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 Red Oak Ct, Lumberton, North Carolina |
| Authorized Official Name and Position | Shereta Jenkins (MANAGING MEMBER) |
| Authorized Official Contact | 9106331378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlarue, Pllc Po Box 513 Lumberton NC 28359-0513 Ph: (910) 633-1378 | Jlarue, Pllc 103 Red Oak Ct Lumberton NC 28358-1112 Ph: (910) 633-1378 |
| NPI Number | 1275880759 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275880759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005377 (North Carolina) | Primary |
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Southeastern Regional Actt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E 21st St, Lumberton, NC 28358 Phone: 910-272-0144 | |
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