DANIEL BAUCOM

CHARLOTTE, NC
NPI1093549495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NC  A20266)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
DANIEL BAUCOM MA, LCMHCA
4730 PARK RD STE A
CHARLOTTE, NC 28209-4205
Phone number: 704-800-4436
Mailing Address
DANIEL BAUCOM MA, LCMHCA
831 JACKSON ST
GASTONIA, NC 28052-7555
Phone number: 704-860-1211
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