Provider First Line Business Practice Location Address:
614 HOWARD ST
Provider Second Line Business Practice Location Address:
STUDENT WELLNESS CENTER ASU
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607-6244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-262-3148
Provider Business Practice Location Address Fax Number:
828-262-3182
Provider Enumeration Date:
05/29/2007