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1700657541
AVERY MOSES
HARRISBURG, NC
NPI
1700657541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
AVERY MOSES
2548 RED MAPLE LN
HARRISBURG, NC 28075-4506
Phone number: 973-405-8192
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Mailing Address
AVERY MOSES
2548 RED MAPLE LN
HARRISBURG, NC 28075-4506
Phone number: 973-405-8192
Copy
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