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1154739068
WANDA EVANS
HICKORY, NC
NPI
1154739068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2713)
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
-- WANDA EVANS csac
1170A FAIRGROVE CHURCH RD
HICKORY, NC 28602-9695
Phone number: 828-464-1172
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Mailing Address
-- WANDA EVANS csac
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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