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Individual
MR. DONALD MRDJENOVIC
Active
Individual
MR. DONALD MRDJENOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
251
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251
NC
251S00000X
Community/Behavioral Health Agency
MHL-016-034
NC
Other
Enumeration date
01/26/2007
Last updated
10/02/2018
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