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1912457060
WILLIAM WILLIS
FAYETTEVILLE, NC
NPI
1912457060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-22813)
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- WILLIAM WILLIS LCAS-A
111 LAMON ST SUITE 103
FAYETTEVILLE, NC 28301-4901
Phone number: 910-261-0941
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Mailing Address
-- WILLIAM WILLIS LCAS-A
722 SAGE ST
FAYETTEVILLE, NC 28312-6014
Phone number: 910-261-0941
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