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1174130686
DEVAN JAMES CARROLL
JACKSONVILLE, NC
NPI
1174130686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-29
Last Update Date
2020-12-04
Business Address
DEVAN JAMES CARROLL LCAS-A
108 SYCAMORE DR
JACKSONVILLE, NC 28546-4586
Phone number: 910-322-0845
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Mailing Address
DEVAN JAMES CARROLL LCAS-A
311 JUDGES RD STE E
WILMINGTON, NC 28405-3651
Phone number: 910-791-6767
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