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1962816017
MICHAEL MASTERSON
LEICESTER, NC
NPI
1962816017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 13775)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
-- MICHAEL MASTERSON CSAC
631 WILLOW CREEK RD
LEICESTER, NC 28748-5646
Phone number: 828-318-0148
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Mailing Address
-- MICHAEL MASTERSON CSAC
631 WILLOW CREEK RD
LEICESTER, NC 28748-5646
Phone number: 828-318-0148
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