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1174022966
PATRICK SAL IDE
WINSTON SALEM, NC
NPI
1174022966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-07
Last Update Date
2022-02-16
Business Address
PATRICK SAL IDE MA, LPCA
1922 S MARTIN LUTHER KING JR DR STE 255
WINSTON SALEM, NC 27107-1361
Phone number: 336-464-3136
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Mailing Address
PATRICK SAL IDE MA, LPCA
12884 S FRONTRUNNER BLVD STE 140
DRAPER, UT 84020-5488
Phone number: 336-423-7697
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