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1275712952
CHARLES CHISHOLM
GREENSBORO, NC
NPI
1275712952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
-- CHARLES CHISHOLM BASW, QP
201 N EUGENE ST
GREENSBORO, NC 27401-2221
Phone number: 336-641-4957
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Mailing Address
-- CHARLES CHISHOLM BASW, QP
902 BONNER DR
JAMESTOWN, NC 27282-8948
Phone number: 336-889-6105
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