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1457771701
ELIZABETH DE LA CRUZ WHITE
CHARLOTTE, NC
NPI
1457771701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 2622)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
ELIZABETH DE LA CRUZ WHITE
5601 EXECUTIVE CENTER DR STE 101
CHARLOTTE, NC 28212-8841
Phone number: 704-319-7643
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Mailing Address
ELIZABETH DE LA CRUZ WHITE
5601 EXECUTIVE CENTER DR STE 101
CHARLOTTE, NC 28212-8841
Phone number: 704-319-7643
Copy
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