Individual
MAGNIOLA DURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 MAPLE GROVE CHURCH RD, DUNN, NC 28334-7692
(910) 567-7038
(910) 567-5022
Mailing address
101 BRYANWOOD DR, GOLDSBORO, NC 27534-8101
(347) 968-4561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24532
NC
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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