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1881041366
MICHAEL DEVER
DURHAM, NC
NPI
1881041366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21662)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- MICHAEL DEVER
705 S MANGUM ST
DURHAM, NC 27701-3904
Phone number: 919-683-1607
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Mailing Address
-- MICHAEL DEVER
705 S MANGUM ST
DURHAM, NC 27701-3904
Phone number: 919-683-1607
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