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1831443043
KATHRYN MICHELE WALLEN
WINSTON SALEM, NC
NPI
1831443043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2787)
Enumeration Date
2012-11-09
Last Update Date
2012-11-09
Business Address
-- KATHRYN MICHELE WALLEN CSAC
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470
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Mailing Address
-- KATHRYN MICHELE WALLEN CSAC
1931 UNION CROSS RD
WINSTON SALEM, NC 27107-6448
Phone number: 336-784-9470
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