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1356994370
MICHAEL GORDON TART
GREENVILLE, NC
NPI
1356994370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004248)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
Mr. MICHAEL GORDON TART LCSW
2577 W 5TH ST
GREENVILLE, NC 27834-7813
Phone number: 252-707-5075
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Mailing Address
Mr. MICHAEL GORDON TART LCSW
2577 W 5TH ST
GREENVILLE, NC 27834-7813
Phone number: 252-707-5075
Copy
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