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1093154247
CECELIA ERIN LESLIE SHORE
CHARLOTTE, NC
NPI
1093154247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-20
Last Update Date
2019-12-06
Business Address
Mrs. CECELIA ERIN LESLIE SHORE
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
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Mailing Address
Mrs. CECELIA ERIN LESLIE SHORE
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
Copy
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