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1205348281
JASON BIRD
CHARLOTTE, NC
NPI
1205348281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 3627)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
Dr. JASON BIRD Ph.D.
15720 BRIXHAM HILL AVENUE 150
CHARLOTTE, NC 28227
Phone number: 704-970-4791
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Mailing Address
Dr. JASON BIRD Ph.D.
30 HOBCAW DR
GREER, SC 29650-4416
Phone number: 864-905-8195
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