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1154865293
MICHELLE WIGLEY
CHARLOTTE, NC
NPI
1154865293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 20191)
Enumeration Date
2016-12-08
Last Update Date
2018-12-20
Business Address
MICHELLE WIGLEY LCAS
521 CLANTON RD
CHARLOTTE, NC 28217-1369
Phone number: 704-332-9001
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Mailing Address
MICHELLE WIGLEY LCAS
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-8001
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