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1104175579
SHANNELL YVONNE HART
GASTONIA, NC
NPI
1104175579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007749)
Enumeration Date
2012-08-31
Last Update Date
2020-08-19
Business Address
SHANNELL YVONNE HART MSW, LCSW
839 MAJESTIC CT STE 6
GASTONIA, NC 28054-5152
Phone number: 704-674-7290
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Mailing Address
SHANNELL YVONNE HART MSW, LCSW
839 MAJESTIC CT STE 6
GASTONIA, NC 28054-5152
Phone number: 704-674-7290
Copy
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