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1184761520
TRACY LOU KLUCINA
CHARLOTTE, NC
NPI
1184761520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 944)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. TRACY LOU KLUCINA LCAS
3430 WHEATLEY AVE
CHARLOTTE, NC 28205-7654
Phone number: 704-591-2026
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Mailing Address
Ms. TRACY LOU KLUCINA LCAS
3430 WHEATLEY AVE
CHARLOTTE, NC 28205-7654
Phone number: 704-591-2026
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