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1295580868
CHANTEL WIDEMAN
CHARLOTTE, NC
NPI
1295580868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
CHANTEL WIDEMAN
3000 LATROBE DR STE B
CHARLOTTE, NC 28211-5227
Phone number: 704-780-4271
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Mailing Address
CHANTEL WIDEMAN
3000 LATROBE DR STE B
CHARLOTTE, NC 28211-5227
Phone number: 704-780-4271
Copy
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