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1114614286
ELSIE AGURS HENDERSON
GASTONIA, NC
NPI
1114614286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 28389)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
ELSIE AGURS HENDERSON LCAS-A
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-842-6359
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Mailing Address
ELSIE AGURS HENDERSON LCAS-A
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-842-6359
Copy
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