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1043569254
JENNIFER DEHAVEN CIANCIOLO
CHARLOTTE, NC
NPI
1043569254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C009241)
Enumeration Date
2012-09-04
Last Update Date
2020-08-17
Business Address
JENNIFER DEHAVEN CIANCIOLO LCSW
7810 BALLANTYNE COMMONS PKWY STE 228
CHARLOTTE, NC 28277-3416
Phone number: 704-727-8788
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Mailing Address
JENNIFER DEHAVEN CIANCIOLO LCSW
1410 SMOKETREE CT # 301
WAXHAW, NC 28173-7481
Phone number: 704-281-1114
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