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1033892278
MADISON BACKER
CHARLOTTE, NC
NPI
1033892278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
MADISON BACKER
5950 FAIRVIEW RD STE 770
CHARLOTTE, NC 28210-3142
Phone number: 704-457-7834
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Mailing Address
MADISON BACKER
4912 CAMDEN PL N
JEFFERSON, MD 21755-7311
Phone number: 301-667-9005
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