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1376553503
MARK DOUGLAS LARSON
CHARLOTTE, NC
NPI
1376553503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 2189)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Dr. MARK DOUGLAS LARSON D.Min., L.P.C.
605 EAST BOULEVARD METHODIST COUNSELING & CONSULTATION SERVICES
CHARLOTTE, NC 28203-5111
Phone number: 704-375-5354
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Mailing Address
Dr. MARK DOUGLAS LARSON D.Min., L.P.C.
2935 FOREST PARK DR
CHARLOTTE, NC 28209-1401
Phone number: 704-334-7543
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