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General NPI Number Information
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NPI Number | 1205972205
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Entity Type | Individual
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Provider Name | WANDA MARIE BROWN-RAMSEUR ED,D, LPC-S, LCAS-S,
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 1451 S ELM EUGENE ST
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City | GREENSBORO
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State | NC
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Zip | 27406-2200
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Country | US
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Telephone | 704-349-3789
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Fax | 336-740-1936
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Provider Business Mailing Address
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Address Line | PO BOX 79009
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City | GREENSBORO
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State | NC
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Zip | 27404
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Country | US
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Telephone | 704-349-3789
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Fax | 336-638-9453
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 458
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7690
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License Number State | NC
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