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1366832909
DEWAYNE BROADNEY
LOUISBURG, NC
NPI
1366832909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS21099)
Enumeration Date
2015-02-04
Last Update Date
2015-02-04
Business Address
-- DEWAYNE BROADNEY
9033 LAKE ROYALE
LOUISBURG, NC 27549-7208
Phone number: 252-477-0008
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Mailing Address
-- DEWAYNE BROADNEY
400 HANSKA WAY
RALEIGH, NC 27610-2262
Phone number: 919-825-8897
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