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1780371872
IMAN KHALIL MUSTAFA
RALEIGH, NC
NPI
1780371872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-30180)
Enumeration Date
2023-04-19
Last Update Date
2024-08-02
Business Address
IMAN KHALIL MUSTAFA LCASA
2101 GARNER RD
RALEIGH, NC 27610-0114
Phone number: 919-787-6131
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Mailing Address
IMAN KHALIL MUSTAFA LCASA
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604-6445
Phone number: 919-787-6131
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