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1063634442
SHANTRA BEANE
WINSTON SALEM, NC
NPI
1063634442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 4302)
Enumeration Date
2007-05-03
Last Update Date
2010-09-30
Business Address
-- SHANTRA BEANE LPC, LCAS
3821 FORRESTGATE DR DBA FORSYTH BEHAVIOR HEALTH
WINSTON SALEM, NC 27103-2930
Phone number: 336-277-1811
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Mailing Address
-- SHANTRA BEANE LPC, LCAS
5807 HARVEST SPRINGS DRIVE
GREENSBORO, NC 27406-8045
Phone number: 336-963-4517
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