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1184015349
STEPHANIE SHINE
CHARLOTTE, NC
NPI
1184015349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC-20339)
Enumeration Date
2015-02-10
Last Update Date
2017-07-10
Business Address
-- STEPHANIE SHINE CSAC
7925 N TRYON ST SUITE 207
CHARLOTTE, NC 28262-3408
Phone number: 704-612-0566
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Mailing Address
-- STEPHANIE SHINE CSAC
7925 N TRYON ST SUITE 207
CHARLOTTE, NC 28262-3408
Phone number: 704-612-0566
Copy
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