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1346673845
LAUREN IDACAVAGE
WILMINGTON, NC
NPI
1346673845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A10302)
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
-- LAUREN IDACAVAGE
5207 GATE POST LN
WILMINGTON, NC 28412-5143
Phone number: 910-789-1551
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Mailing Address
-- LAUREN IDACAVAGE
5207 GATE POST LN
WILMINGTON, NC 28412-5143
Phone number:
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