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1124174958
HARVEY T BLACKMON
CHARLOTTE, NC
NPI
1124174958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 244)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. HARVEY T BLACKMON LCAS, CCS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-336-5626
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Mailing Address
Mr. HARVEY T BLACKMON LCAS, CCS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-336-5626
Copy
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