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1457891236
WESLEY JACKSON WADE
MORRISVILLE, NC
NPI
1457891236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-23410)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
Mr. WESLEY JACKSON WADE NCC, CCMHC, LCAS-A
227 MAINLINE STATION DR
MORRISVILLE, NC 27560-6112
Phone number: 919-530-9446
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Mailing Address
Mr. WESLEY JACKSON WADE NCC, CCMHC, LCAS-A
107 WINDEL DR STE 207A
RALEIGH, NC 27609-4471
Phone number: 919-530-9446
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