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1306304043
PATRICE A BOUDREAUX
WEAVERVILLE, NC
NPI
1306304043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-25025)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
PATRICE A BOUDREAUX LCAS-A
901 OLD MARS HILL HWY STE 3
WEAVERVILLE, NC 28787-8628
Phone number: 828-412-7022
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Mailing Address
PATRICE A BOUDREAUX LCAS-A
105 N GREENWOOD FOREST DR
ETOWAH, NC 28729-9770
Phone number: 225-252-5555
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