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Individual
FQUIRA D JOHANNES
Active
Individual
FQUIRA D JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21251
NC
1041C0700X
Clinical Social Worker
Primary
PO10860
NC
Other
Enumeration date
01/24/2013
Last updated
11/03/2025
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