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1518617737
THERESA MAE S MISPEROS
GOLDSBORO, NC
NPI
1518617737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
THERESA MAE S MISPEROS CADC-R
1700 E ASH ST STE 200
GOLDSBORO, NC 27530-4097
Phone number: 919-583-9329
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Mailing Address
THERESA MAE S MISPEROS CADC-R
1700 E ASH ST STE 200
GOLDSBORO, NC 27530-4097
Phone number: 919-583-9329
Copy
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