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PHSSCA provides outreach, education, screening and case management for over 1200 clients with sickle cell disease in Alamance, Carteret, Caswell, Craven, Cumberland, Forsyth, Greene, Guilford, Harnett, Hoke, Jones, Lenoir, Onslow, Mecklenburg, Pamlico, Randolph, Robeson, Rockingham and Wayne counties.