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1982002515
JULIE THERIAULT
FUQUAY VARINA, NC
NPI
1982002515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A10902)
Enumeration Date
2014-12-13
Last Update Date
2014-12-13
Business Address
-- JULIE THERIAULT M.A., NCC, LPCA
110 RALEIGH ST
FUQUAY VARINA, NC 27526-2227
Phone number: 919-285-4963
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Mailing Address
-- JULIE THERIAULT M.A., NCC, LPCA
1005 KINGMAN DR
KNIGHTDALE, NC 27545-6124
Phone number:
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