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Organization
FREDDIE-CLAIRES INTEGRATED SERVICES LLC
Active
Organization
FREDDIE-CLAIRES INTEGRATED SERVICES LLC
Active
Other names
Freddie-Claires Integrated Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK NELSON WILSON (CEO/PRESIDENT)
(951) 588-9158
Entity
Organization
Contact information
Practice address
5021 CHERRY ST, WINSTON SALEM, NC 27105-2115
(951) 588-9158
Mailing address
5021 CHERRY ST, WINSTON SALEM, NC 27105-2115
(951) 588-9158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/21/2023
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