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1285005330
WANDA BRISCO
CHARLOTTE, NC
NPI
1285005330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1927)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- WANDA BRISCO CSAC
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6889
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Mailing Address
-- WANDA BRISCO CSAC
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6889
Copy
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