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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
2315 MYRON DR, RALEIGH, NC 27607-3344
(919) 861-1600
(919) 861-1637
Mailing address
5171 GLENWOOD AVE, SUITE 400, RALEIGH, NC 27612-3266
(919) 783-8898
(919) 782-5486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
32314
NC
Other
Enumeration date
12/15/2006
Last updated
11/23/2010
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