STEPFON TEONTA PORTLOCK

CHARLOTTE, NC
NPI1396085577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C008189)
Enumeration Date2013-02-25
Last Update Date2016-10-25
Business Address
Mr. STEPFON TEONTA PORTLOCK LCSW
6710 PATTONSBURG DR
CHARLOTTE, NC 28213-2152
Phone number: 704-780-9628
Mailing Address
Mr. STEPFON TEONTA PORTLOCK LCSW
6710 PATTONSBURG DR
CHARLOTTE, NC 28213-2152
Phone number: 704-780-9628
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