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Individual

DEVAN JAMES CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS-A

Contact information

Practice address
108 SYCAMORE DR, JACKSONVILLE, NC 28546-4586
(910) 322-0845
Mailing address
311 JUDGES RD STE E, WILMINGTON, NC 28405-3651
(910) 791-6767

Taxonomy

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

Other

Enumeration date
09/29/2020
Last updated
12/04/2020
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