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1033772496
DOUGLAS EDWARDS
FAYETTEVILLE, NC
NPI
1033772496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 24173)
Enumeration Date
2019-04-20
Last Update Date
2019-04-20
Business Address
DOUGLAS EDWARDS CSAC 24173
118 DOUGLAS ST
FAYETTEVILLE, NC 28312-5310
Phone number: 910-682-8872
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Mailing Address
DOUGLAS EDWARDS CSAC 24173
118 DOUGLAS ST
FAYETTEVILLE, NC 28312-5310
Phone number: 910-682-8872
Copy
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