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1124443163
DIANA WILMA AVILA
FAYETTEVILLE, NC
NPI
1124443163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20054)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
-- DIANA WILMA AVILA LCAS
1724 ROXIE AVE
FAYETTEVILLE, NC 28304-1623
Phone number: 910-615-3333
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Mailing Address
-- DIANA WILMA AVILA LCAS
1724 ROXIE AVE
FAYETTEVILLE, NC 28304-1623
Phone number: 910-615-3333
Copy
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