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1275804791
JACQUELINE W. SHIELDS
CHARLOTTE, NC
NPI
1275804791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C006593)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- JACQUELINE W. SHIELDS LCSW
501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-1009
Phone number: 704-358-2700
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Mailing Address
-- JACQUELINE W. SHIELDS LCSW
501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-1009
Phone number: 704-358-2710
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