KILEY COSTNER THIEL

CHARLOTTE, NC
NPI1104850593
Former NameKILEY A COSTNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NC  5150)
Enumeration Date2006-07-10
Last Update Date2020-09-25
Business Address
Mrs. KILEY COSTNER THIEL LCMHCS
1501 E 7TH ST STE 6
CHARLOTTE, NC 28204-2455
Phone number: 704-756-3623
Mailing Address
Mrs. KILEY COSTNER THIEL LCMHCS
1501 E 7TH ST STE 6
CHARLOTTE, NC 28204-2455
Phone number: 704-756-3623
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