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1477002483
MICHELE DUSSAULT
CONCORD, NC
NPI
1477002483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P010951)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
Ms. MICHELE DUSSAULT
284 EXECUTIVE PARK DR SUITE 100
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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Mailing Address
Ms. MICHELE DUSSAULT
130 CARBONTON RD
SANFORD, NC 27330-4009
Phone number: 919-774-6521
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