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Individual

MS. PATRICIA H STREET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS CSAC

Contact information

Practice address
202 E MAIN ST, SPINDALE, NC 28160-1514
(828) 286-0501
(828) 286-1019
Mailing address
PO BOX 322, SPINDALE, NC 28160-0322
(828) 286-0501
(828) 286-1019

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
226
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12957
BCBS
05
6111751
NC
Enumeration date
06/16/2006
Last updated
07/08/2007
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