Individual
MS. ERICA PATRICE CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2290 PREMIER PARK LN, WINSTON SALEM, NC 27105-6306
(336) 893-7707
Mailing address
1832 WILMA AVE, WINSTON SALEM, NC 27127-7538
(336) 778-6239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25451
NC
Other
Enumeration date
07/14/2023
Last updated
07/18/2023
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