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1932301983
CLARA JO TEAGUE
RALEIGH, NC
NPI
1932301983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1066)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- CLARA JO TEAGUE LCAS
3000 FALSTAFF RD
RALEIGH, NC 27610-1813
Phone number: 919-250-1550
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Mailing Address
-- CLARA JO TEAGUE LCAS
4429 WHISPERWOOD DR
RALEIGH, NC 27616-3166
Phone number: 919-250-1550
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