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Organization
WESLEY SHELTER, INC
Active
Organization
WESLEY SHELTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM GAUSS (EXECUTIVE DIRECTOR)
(252) 291-2344
Entity
Organization
Contact information
Practice address
106 VANCE ST E, WILSON, NC 27893-4034
(252) 291-2344
(252) 291-1436
Mailing address
106 EAST VANCE STREET, WILSON, NC 27894
(252) 291-2344
(252) 291-1436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105081
—
NC
Enumeration date
02/15/2006
Last updated
08/22/2020
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