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1891959524
DERIC J. BOSTON, LCSW
DURHAM, NC
NPI
1891959524
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Entity Type
Organization
Authorized Contact
DERIC BOSTON
Owner
919-619-1032
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC C006078)
Enumeration Date
2008-07-11
Last Update Date
2012-05-21
Business Address
DERIC J. BOSTON, LCSW
1058 W CLUB BLVD BOX 642
DURHAM, NC 27701-1104
Phone number: 919-619-1032
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Mailing Address
DERIC J. BOSTON, LCSW
1058 W CLUB BLVD STE 615
DURHAM, NC 27701-1104
Phone number: 919-619-1032
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