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1407211790
NICOLE SHELTON
CONCORD, NC
NPI
1407211790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 25163)
Enumeration Date
2015-12-31
Last Update Date
2017-05-26
Business Address
-- NICOLE SHELTON LCAS A
245 EXECUTIVE PARK DR.
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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Mailing Address
-- NICOLE SHELTON LCAS A
318 TURNERSBURG HWY
STATESVILLE, NC 28625-2798
Phone number:
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