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Individual

MS. MARIE C HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
705 S MANGUM ST, BAART PROGRAMS, DURHAM, NC 27701-3904
(919) 683-1607
(919) 683-1790
Mailing address
705 S MANGUM ST, BAART PROGRAMS, DURHAM, NC 27701-3904
(919) 683-1607
(919) 683-1790

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1283
NC

Other

Enumeration date
09/05/2008
Last updated
07/11/2012
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