SUSAN BLACKWELDER HAYNES

STATESVILLE, NC
NPI1598003394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-29
Last Update Date2013-01-29
Business Address
-- SUSAN BLACKWELDER HAYNES LCASA
636 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4774
Phone number: 704-871-2992
Mailing Address
-- SUSAN BLACKWELDER HAYNES LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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