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1275771461
AMANDA JERNIGAN SHANKS
CHARLOTTE, NC
NPI
1275771461
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Former Name
AMANDA MICHELLE JERNIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-01-27
Last Update Date
2012-04-01
Business Address
-- AMANDA JERNIGAN SHANKS LPC
6845 FAIRVIEW RD
CHARLOTTE, NC 28210-3363
Phone number: 704-995-2365
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Mailing Address
-- AMANDA JERNIGAN SHANKS LPC
6845 FAIRVIEW RD
CHARLOTTE, NC 28210-3363
Phone number: 704-995-2365
Copy
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