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1053936336
BETHANI COGBURN
CHARLOTTE, NC
NPI
1053936336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A13192)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
BETHANI COGBURN NCC, LCMHCA
1218 EAST BLVD STE E
CHARLOTTE, NC 28203-6158
Phone number: 704-912-1074
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Mailing Address
BETHANI COGBURN NCC, LCMHCA
3838 SAXONBURY WAY
CHARLOTTE, NC 28269-9437
Phone number:
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