CRYSTAL WHITESIDES KIRKLAND

GASTONIA, NC
NPI1225505662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  22751)
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
CRYSTAL WHITESIDES KIRKLAND
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-534-7950
Mailing Address
CRYSTAL WHITESIDES KIRKLAND
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-534-7950
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