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1114289717
AVRIL L STALEY
WINSTON SALEM, NC
NPI
1114289717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Miss AVRIL L STALEY BA, QP, CSAC-Intern
3998 DALTON ST
WINSTON SALEM, NC 27105-3428
Phone number: 336-784-9470
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Mailing Address
Miss AVRIL L STALEY BA, QP, CSAC-Intern
PO BOX 30373
WINSTON SALEM, NC 27130-0373
Phone number: 336-784-9470
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