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1003520057
ANDREA BOULWARE
CHARLOTTE, NC
NPI
1003520057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A17684)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
Mrs. ANDREA BOULWARE LCMHCA
7300 CARMEL EXECUTIVE PARK DR STE 115
CHARLOTTE, NC 28226-1310
Phone number: 980-243-3646
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Mailing Address
Mrs. ANDREA BOULWARE LCMHCA
1811 SUMMIT VIEW PL
WAXHAW, NC 28173-7333
Phone number: 980-243-3646
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