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Individual

STEVEN JUSTIN BOUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NCC, LPC(BE)

Contact information

Practice address
205 BALFOUR DR, ARCHDALE, NC 27263-3117
(336) 431-0700
(336) 431-0762
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/19/2009
Last updated
04/22/2010
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