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Individual

TIMOTHY WARRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 353-5346
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCAS-25268
LCAS-A
NC
Enumeration date
05/03/2022
Last updated
05/11/2022
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