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1942580857
ANGELA M HAVILAND
BLACK MOUNTAIN, NC
NPI
1942580857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1399)
Enumeration Date
2011-08-23
Last Update Date
2011-08-23
Business Address
-- ANGELA M HAVILAND
932 OLD US 70 W
BLACK MOUNTAIN, NC 28711-2547
Phone number: 828-669-4161
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Mailing Address
-- ANGELA M HAVILAND
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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