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1093549495
DANIEL BAUCOM
CHARLOTTE, NC
NPI
1093549495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A20266)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
DANIEL BAUCOM MA, LCMHCA
4730 PARK RD STE A
CHARLOTTE, NC 28209-4205
Phone number: 704-800-4436
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Mailing Address
DANIEL BAUCOM MA, LCMHCA
831 JACKSON ST
GASTONIA, NC 28052-7555
Phone number: 704-860-1211
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