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1124883061
RUSSELL A. MAKANT
HICKORY, NC
NPI
1124883061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19739)
Enumeration Date
2024-02-20
Last Update Date
2024-03-26
Business Address
RUSSELL A. MAKANT LCMHCA
255 18TH ST SE
HICKORY, NC 28602-1364
Phone number: 828-327-6633
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Mailing Address
RUSSELL A. MAKANT LCMHCA
3468 4TH STREET BLVD NW
HICKORY, NC 28601-1071
Phone number: 828-502-9844
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