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1295285054
TRACI ROGERS FUQUAY
CHAPEL HILL, NC
NPI
1295285054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21219)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
-- TRACI ROGERS FUQUAY LCASA
118 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-442-1840
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Mailing Address
-- TRACI ROGERS FUQUAY LCASA
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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