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Individual

MRS. EVA STILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COS, CT, RH, MNIMH

Contact information

Practice address
3035 LEGION RD STE 106, FAYETTEVILLE, NC 28306-4004
(910) 476-4786
Mailing address
634 LOCUST GROVE DR, FAYETTEVILLE, NC 28314-3211
(910) 476-4786

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
C87634
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280114410
AADP
NC
01
C87634
COS
NC
Enumeration date
02/21/2025
Last updated
09/11/2025
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