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1609114537
LORETTA HEAVNER
GASTONIA, NC
NPI
1609114537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P006996)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
LORETTA HEAVNER LCSWA
1552 UNION RD STE E
GASTONIA, NC 28054-5523
Phone number: 704-833-0154
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Mailing Address
LORETTA HEAVNER LCSWA
1552 UNION RD STE E
GASTONIA, NC 28054-5523
Phone number: 704-833-0154
Copy
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