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1619664232
SIDNEY MILLER DERAMUS
HICKORY, NC
NPI
1619664232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-28751)
Enumeration Date
2023-04-24
Last Update Date
2023-05-10
Business Address
SIDNEY MILLER DERAMUS LCAS-A
929 15TH ST NE STE 100
HICKORY, NC 28601-4162
Phone number: 828-327-6026
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Mailing Address
SIDNEY MILLER DERAMUS LCAS-A
4330 VIOLA SIPE DR
CONOVER, NC 28613-8839
Phone number: 828-256-3436
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