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Individual

THERESA MAE S MISPEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC-R

Contact information

Practice address
1700 E ASH ST STE 200, GOLDSBORO, NC 27530-4097
(919) 583-9329
(919) 583-9328
Mailing address
1700 E ASH ST STE 200, GOLDSBORO, NC 27530-4097
(919) 583-9329
(919) 583-9328

Taxonomy

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

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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