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1497223119
MARY ALICE ELEAZER
GREENSBORO, NC
NPI
1497223119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20629)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
MARY ALICE ELEAZER LCAS-A
1 CENTERVIEW DR STE 300
GREENSBORO, NC 27407-3712
Phone number: 336-617-0469
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Mailing Address
MARY ALICE ELEAZER LCAS-A
2102 SHEPHERD WATCH CT APT A
GREENSBORO, NC 27403-3566
Phone number: 336-451-8101
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