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1568711109
MARY DIANNE BRANCH
CHARLOTTE, NC
NPI
1568711109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-29
Last Update Date
2022-01-20
Business Address
Miss MARY DIANNE BRANCH LCAS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
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Mailing Address
Miss MARY DIANNE BRANCH LCAS
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
Copy
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