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1508293242
PHYLLIS BARNETTE
CHARLOTTE, NC
NPI
1508293242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2109)
Enumeration Date
2013-09-26
Last Update Date
2013-10-01
Business Address
-- PHYLLIS BARNETTE LCAS
5421 COBURG AVE
CHARLOTTE, NC 28215-2203
Phone number: 704-231-1469
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Mailing Address
-- PHYLLIS BARNETTE LCAS
P.O. BOX 43686
CHARLOTTE, NC 28215-1985
Phone number: 704-231-1469
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