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1558824888
JACQUELINE MONIQUE PARKS LEACH
GASTONIA, NC
NPI
1558824888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A14757)
Enumeration Date
2019-04-12
Last Update Date
2019-09-30
Business Address
JACQUELINE MONIQUE PARKS LEACH
419 S YORK ST
GASTONIA, NC 28052-4035
Phone number: 704-865-8722
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Mailing Address
JACQUELINE MONIQUE PARKS LEACH
314 DAVIS RD # 2
SHELBY, NC 28152-8737
Phone number: 704-418-1632
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