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1518328160
STANLEY HOLDER
WINSTON SALEM, NC
NPI
1518328160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 22516)
Enumeration Date
2016-03-10
Last Update Date
2017-12-14
Business Address
STANLEY HOLDER
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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Mailing Address
STANLEY HOLDER
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number:
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