MIRIAM O'BANNON

FOREST CITY, NC
NPI1164812921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  2130A)
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
MIRIAM O'BANNON LCASA
132 COMMERCIAL DR SUITE 120
FOREST CITY, NC 28043-2400
Phone number: 828-248-1117
Mailing Address
MIRIAM O'BANNON LCASA
4685 HACKBERRY GROVE CIR APT 1827
CHARLOTTE, NC 28269-2431
Phone number: 706-631-0570
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