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Individual

PRINCE U UZUKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS-A

Contact information

Practice address
3709 NASH ST NW, WILSON, NC 27896-1127
(185) 540-5144
Mailing address
32 MERRIMAR CT, BENSON, NC 27504-6065
(185) 540-5144

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26064
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
N/A
Enumeration date
12/07/2020
Last updated
12/07/2020
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