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1518309160
BEVERLY RENE ANDERSON
RAEFORD, NC
NPI
1518309160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 2772A)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
MRS. BEVERLY RENE ANDERSON LCASA
402 HARRIS AVE
RAEFORD, NC 28376-3112
Phone number: 910-848-1639
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Mailing Address
MRS. BEVERLY RENE ANDERSON LCASA
120 HIMALAYA DR
RAEFORD, NC 28376-8157
Phone number: 910-849-4566
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