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1376845420
PETER RUSSELL MCGUIRE
MOUNT AIRY, NC
NPI
1376845420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2047)
Enumeration Date
2010-11-23
Last Update Date
2019-02-18
Business Address
Mr. PETER RUSSELL MCGUIRE MDiv, LCAS
847 W LAKE DR
MOUNT AIRY, NC 27030-2157
Phone number: 336-783-6919
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Mailing Address
Mr. PETER RUSSELL MCGUIRE MDiv, LCAS
284 EXECUTIVE PARK DR STE 200
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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