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1134145428
JENNIFER R. MAIETTA
GASTONIA, NC
NPI
1134145428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004388)
Enumeration Date
2006-07-14
Last Update Date
2012-08-06
Business Address
-- JENNIFER R. MAIETTA
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-517-7366
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Mailing Address
-- JENNIFER R. MAIETTA
736 SEDGEFIELD RD APT C
CHARLOTTE, NC 28209-1274
Phone number: 704-517-7366
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