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1407310063
REBECCA WILSON SHELL
CHARLOTTE, NC
NPI
1407310063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCASA25106)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
REBECCA WILSON SHELL LCAS-A
200 QUEENS RD STE 102
CHARLOTTE, NC 28204-3252
Phone number: 704-756-7688
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Mailing Address
REBECCA WILSON SHELL LCAS-A
2016 NOLEN PARK LN
CHARLOTTE, NC 28209-1565
Phone number: 704-756-7688
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