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1104685049
TIEMEYER TOREZ LEACH
GASTONIA, NC
NPI
1104685049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19640)
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
TIEMEYER TOREZ LEACH LCMHCA,NCC
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 980-443-6398
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Mailing Address
TIEMEYER TOREZ LEACH LCMHCA,NCC
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number:
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