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1912730714
SHANDA LEAVELLE
RALEIGH, NC
NPI
1912730714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-30227)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
SHANDA LEAVELLE LCASA
2101 GARNER RD
RALEIGH, NC 27610-0114
Phone number: 919-787-6131
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Mailing Address
SHANDA LEAVELLE LCASA
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604-6445
Phone number: 919-787-6131
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