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Individual

SYDNEY VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.C.A.S.A

Contact information

Practice address
11965 EAGLE CLIFF CT, RALEIGH, NC 27613-6001
(919) 673-8654
Mailing address
11965 EAGLE CLIFF CT, RALEIGH, NC 27613-6001
(919) 673-8654

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21660
NC

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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