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1497247696
DONNA AUGUSTONO
RALEIGH, NC
NPI
1497247696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20376)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
DONNA AUGUSTONO MA, LCAS-A
2321 CRABTREE BLVD STE 250
RALEIGH, NC 27604-2263
Phone number: 919-848-9108
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Mailing Address
DONNA AUGUSTONO MA, LCAS-A
107 SAINT JOHNS ST
KNIGHTDALE, NC 27545-7997
Phone number: 919-880-2828
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