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1396076295
SHYVERNE MATHIS
CHARLOTTE, NC
NPI
1396076295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P005013)
Enumeration Date
2010-01-18
Last Update Date
2010-01-18
Business Address
-- SHYVERNE MATHIS
5680 GRAND CANAL WAY APT P
CHARLOTTE, NC 28270-6936
Phone number: 704-293-3121
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Mailing Address
-- SHYVERNE MATHIS
1927 JN PEASE PL SUITE 104
CHARLOTTE, NC 28262-4553
Phone number: 704-293-3121
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