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1043800618
FERNANDO MANUEL MIRANDA
WINSTON SALEM, NC
NPI
1043800618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A16200)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
FERNANDO MANUEL MIRANDA LCMHC-A
8007 N POINT BLVD STE A
WINSTON SALEM, NC 27106-3268
Phone number: 866-700-1606
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Mailing Address
FERNANDO MANUEL MIRANDA LCMHC-A
8007 N POINT BLVD STE A
WINSTON SALEM, NC 27106-3268
Phone number: 866-700-1606
Copy
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