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Individual

WILHELMINA J FOSTER-LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
309 PEARSON DR, DURHAM, NC 27713-7116
(919) 361-9930
(919) 361-9930
Mailing address
309 PEARSON DR, DURHAM, NC 27713-7116
(919) 361-9930
(919) 361-9930

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
342
NC

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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