SHAPHAUN TAMARA BLACK

CHARLOTTE, NC
NPI1326448960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2726)
Enumeration Date2014-09-02
Last Update Date2014-09-02
Business Address
-- SHAPHAUN TAMARA BLACK CSAC
1409 EAST BLVD SUITE 201
CHARLOTTE, NC 28203-5817
Phone number: 980-225-7899
Mailing Address
-- SHAPHAUN TAMARA BLACK CSAC
PO BOX 681282
CHARLOTTE, NC 28216-0023
Phone number: 704-965-8119
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