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Individual
MR. PETER RUSSELL MCGUIRE
Active
Individual
MR. PETER RUSSELL MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2047
NC
Other
Enumeration date
11/23/2010
Last updated
02/18/2019
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