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1073792719
KEITH MARK CAMPBELL
CHARLOTTE, NC
NPI
1073792719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
-- KEITH MARK CAMPBELL LCAS
145 REMOUNT RD
CHARLOTTE, NC 28203-5013
Phone number: 704-332-9001
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Mailing Address
-- KEITH MARK CAMPBELL LCAS
145 REMOUNT RD
CHARLOTTE, NC 28203-5013
Phone number: 704-332-9001
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