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1902147069
MERIOTH WANYAMA
RALEIGH, NC
NPI
1902147069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2593)
Enumeration Date
2013-03-13
Last Update Date
2013-03-13
Business Address
-- MERIOTH WANYAMA LCAS
2912 ALDER RIDGE LN
RALEIGH, NC 27603-6020
Phone number: 919-720-4866
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Mailing Address
-- MERIOTH WANYAMA LCAS
2912 ALDER RIDGE LN
RALEIGH, NC 27603-6020
Phone number: 919-720-4866
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