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Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD P. EDWARDS (VICE PRESIDENT)
(919) 783-8898
Entity
Organization
Contact information
Practice address
1302 SECOND ST, NORTH WILKESBORO, NC 28659-3851
(336) 667-3251
(336) 667-4884
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 865-8811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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