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1124586805
TONYA COSTNER
GASTONIA, NC
NPI
1124586805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 24251)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
TONYA COSTNER
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-332-9001
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Mailing Address
TONYA COSTNER
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-332-9001
Copy
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