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1336620905
SANDRA SUE TABOLT
CHARLOTTE, NC
NPI
1336620905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC-1507)
Enumeration Date
2018-08-22
Last Update Date
2024-07-15
Business Address
SANDRA SUE TABOLT CADC
7825 BALLANTYNE COMMONS PKWY STE 110
CHARLOTTE, NC 28277-3174
Phone number: 704-446-0391
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Mailing Address
SANDRA SUE TABOLT CADC
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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