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1578394607
RONALD MCILWAIN
CHARLOTTE, NC
NPI
1578394607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 29522)
Enumeration Date
2024-08-10
Last Update Date
2024-08-10
Business Address
RONALD MCILWAIN LCAS-A
5601 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212-8863
Phone number: 704-537-1022
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Mailing Address
RONALD MCILWAIN LCAS-A
1124 WHITE PLAINS RD
CHARLOTTE, NC 28213-5861
Phone number: 704-834-9290
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