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1356549224
JON DOUGLAS DETWILER
CHARLOTTE, NC
NPI
1356549224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 863)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- JON DOUGLAS DETWILER M.A.
1801 E 5TH ST STE. 212
CHARLOTTE, NC 28204-2379
Phone number: 704-358-3025
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Mailing Address
-- JON DOUGLAS DETWILER M.A.
1801 E 5TH ST STE. 212
CHARLOTTE, NC 28204-2379
Phone number: 704-358-3025
Copy
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