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1215307665
NICHOLAS SHAWN ASA
CONCORD, NC
NPI
1215307665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC A11436)
Enumeration Date
2015-09-29
Last Update Date
2015-09-29
Business Address
NICHOLAS SHAWN ASA MA, NCC, LPCA
900 COPPERFIELD BLVD NE
CONCORD, NC 28025-2433
Phone number: 704-721-0000
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Mailing Address
NICHOLAS SHAWN ASA MA, NCC, LPCA
723 FOXBOROUGH RD
CHARLOTTE, NC 28213-5771
Phone number: 704-607-0509
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