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1023329471
HEATHER TAVELLA
CONCORD, NC
NPI
1023329471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 7986)
Enumeration Date
2010-06-30
Last Update Date
2011-07-08
Business Address
-- HEATHER TAVELLA LPC, LCAS, CS-I, NCC
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1000
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Mailing Address
-- HEATHER TAVELLA LPC, LCAS, CS-I, NCC
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1000
Copy
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