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1477298362
SHANTE DENISE GREGORY
INDIAN TRAIL, NC
NPI
1477298362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A14915)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
Mrs. SHANTE DENISE GREGORY LCMCHA
120 UNIONVILLE INDIAN TRAIL RD W
INDIAN TRAIL, NC 28079-5665
Phone number: 704-438-9901
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Mailing Address
Mrs. SHANTE DENISE GREGORY LCMCHA
13663 PROVIDENCE RD # 355
WEDDINGTON, NC 28104-9373
Phone number:
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