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1174258461
LALIA MARIE VICTORIA
GASTONIA, NC
NPI
1174258461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017829)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
LALIA MARIE VICTORIA LCSWA
2721 X RAY DR
GASTONIA, NC 28054-7491
Phone number: 704-874-2255
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Mailing Address
LALIA MARIE VICTORIA LCSWA
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1900
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