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Individual

ALLISON C EDWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Mailing address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005782
NC
Enumeration date
12/22/2010
Last updated
12/22/2010
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