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1336491653
WANDA IVETTE COLLAZO
FAYETTEVILLE, NC
NPI
1336491653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 9258)
Enumeration Date
2012-10-10
Last Update Date
2014-05-20
Business Address
Mrs. WANDA IVETTE COLLAZO LPC
590 CEDAR CREEK RD SUITE 110
FAYETTEVILLE, NC 28312-6559
Phone number: 910-424-2020
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Mailing Address
Mrs. WANDA IVETTE COLLAZO LPC
316 SHAWCROFT RD
FAYETTEVILLE, NC 28311-2934
Phone number: 910-424-2020
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