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10935 Emerald Wood Dr Huntersville NC 28078-2419 | |
| (304) 960-9348 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10935 Emerald Wood Dr, Huntersville, North Carolina |
| Authorized Official Name and Position | Wanda Jean Fraser (OWNER) |
| Authorized Official Contact | 3049609348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10935 Emerald Wood Dr Huntersville NC 28078-2419 Ph: (304) 960-9348 | 10935 Emerald Wood Dr Huntersville NC 28078-2419 Ph: (304) 960-9348 |
| NPI Number | 1528584398 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528584398 | NPI | - | NPPES |
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