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1023594108
WALLACE LAMONE ALSTON
CHARLOTTE, NC
NPI
1023594108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Mr. WALLACE LAMONE ALSTON
9517 SILVERDALE LN
CHARLOTTE, NC 28269-3469
Phone number: 704-534-7658
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Mailing Address
Mr. WALLACE LAMONE ALSTON
9517 SILVERDALE LN
CHARLOTTE, NC 28269-3469
Phone number: 704-534-7658
Copy
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