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1932483229
STACI JAN WISEMILLER
GREENVILLE, NC
NPI
1932483229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-10-05
Last Update Date
2013-09-09
Business Address
MRS. STACI JAN WISEMILLER LCAS-P
2313 EXECUTIVE CIR SUITE C
GREENVILLE, NC 27834-3744
Phone number: 252-215-5700
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Mailing Address
MRS. STACI JAN WISEMILLER LCAS-P
2313 EXECUTIVE CIRCLE SUITE C
GREENVILLE, NC 27834
Phone number: 252-215-5700
Copy
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