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1376959601
TRACI KING
CHARLOTTE, NC
NPI
1376959601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- TRACI KING
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-871-2992
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Mailing Address
-- TRACI KING
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-871-2992
Copy
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