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1013009117
TONY RAY BEATTY
CHARLOTTE, NC
NPI
1013009117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 318)
Enumeration Date
2006-09-28
Last Update Date
2007-07-09
Business Address
Mr. TONY RAY BEATTY LCAS, CCS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-336-3067
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Mailing Address
Mr. TONY RAY BEATTY LCAS, CCS
3430 WHEATLEY AVE
CHARLOTTE, NC 28205-7654
Phone number: 704-336-5622
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