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1649412610
PRISCILLA A WIZZARD
KNIGHTDALE, NC
NPI
1649412610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-04-06
Last Update Date
2009-04-06
Business Address
MRS. PRISCILLA A WIZZARD CAC
2260 BALLSTON PL
KNIGHTDALE, NC 27545-7477
Phone number: 919-266-7986
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Mailing Address
MRS. PRISCILLA A WIZZARD CAC
2260 BALLSTON PL
KNIGHTDALE, NC 27545-7477
Phone number: 919-266-7986
Copy
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