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1275292211
ASHLEY PORT
MOORESVILLE, NC
NPI
1275292211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A17026)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
ASHLEY PORT LCMHCA
2039 MECKLENBURG HWY
MOORESVILLE, NC 28115-8574
Phone number: 704-765-2279
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Mailing Address
ASHLEY PORT LCMHCA
10315 WATOGA WAY
CORNELIUS, NC 28031-9016
Phone number: 704-765-2279
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