WONDA BULLOCK BEAVER

DURHAM, NC
NPI1639434152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
-- WONDA BULLOCK BEAVER NCC, LCAS, LPC-A
9 DUCK POND CT
DURHAM, NC 27703-6096
Phone number: 919-451-2480
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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