Rebel Goat Farm,inc | |
250 Millionaire Rd Saint Pauls NC 28384-8251 | |
(910) 241-3273 | |
Not Available |
Full Name | Rebel Goat Farm,inc |
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Speciality | Social Worker - Clinical |
Location | 250 Millionaire Rd, Saint Pauls, North Carolina |
Authorized Official Name and Position | Jennifer Mary Wahlman (DIRECTOR AND CO-FOUNDER) |
Authorized Official Contact | 9102413273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rebel Goat Farm,inc 250 Millionaire Rd Saint Pauls NC 28384-8251 Ph: (910) 241-3273 | Rebel Goat Farm,inc 250 Millionaire Rd Saint Pauls NC 28384-8251 Ph: (910) 241-3273 |
NPI Number | 1649876566 |
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Provider Enumeration Date | 12/07/2020 |
Last Update Date | 12/08/2020 |
Certification Date | 12/08/2020 |
Identifier | Type | State | Issuer |
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1649876566 | NPI | - | NPPES |
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