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1124400338
SHANNON DAVIS
CHARLOTTE, NC
NPI
1124400338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21648)
Enumeration Date
2015-06-24
Last Update Date
2018-03-17
Business Address
SHANNON DAVIS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
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Mailing Address
SHANNON DAVIS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
Copy
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