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1104228675
JULIE TINA
GASTONIA, NC
NPI
1104228675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC c008950)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- JULIE TINA LCSW
409 S OAKLAND ST
GASTONIA, NC 28052-4312
Phone number: 704-874-9005
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Mailing Address
-- JULIE TINA LCSW
200 E SECOND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1904
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