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1316400948
CHARLES HAYWARD SAMUELS
CHARLOTTE, NC
NPI
1316400948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC-21775)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
Mr. CHARLES HAYWARD SAMUELS CSAC-21775
3815 N TRYON ST
CHARLOTTE, NC 28206-2060
Phone number: 704-372-8809
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Mailing Address
Mr. CHARLES HAYWARD SAMUELS CSAC-21775
3815 N TRYON ST
CHARLOTTE, NC 28206-2060
Phone number: 704-372-8809
Copy
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