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1518654466
CANDACE ROSE VIVAS
WAKE FOREST, NC
NPI
1518654466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 8425)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
CANDACE ROSE VIVAS MAC, LPCA
12339 WAKE UNION CHURCH RD STE 111
WAKE FOREST, NC 27587-4512
Phone number: 919-867-0360
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Mailing Address
CANDACE ROSE VIVAS MAC, LPCA
5510 GLENCREE CT
RALEIGH, NC 27612-8707
Phone number: 919-861-7435
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