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1639434152
WONDA BULLOCK BEAVER
DURHAM, NC
NPI
1639434152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-07-10
Last Update Date
2012-07-10
Business Address
WONDA BULLOCK BEAVER NCC, LCAS, LPC-A
9 DUCK POND CT
DURHAM, NC 27703-6096
Phone number: 919-451-2480
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Mailing Address
WONDA BULLOCK BEAVER NCC, LCAS, LPC-A
9 DUCK POND CT PO BOX 11011
DURHAM, NC 27703-6096
Phone number: 919-451-2480
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