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1619416906
CHARLIE RANDOLPH TAYLOR
CHARLOTTE, NC
NPI
1619416906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 22826)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
-- CHARLIE RANDOLPH TAYLOR MA, LCASA
517 CLANTON ROAD
CHARLOTTE, NC 28217
Phone number: 704-332-9001
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Mailing Address
-- CHARLIE RANDOLPH TAYLOR MA, LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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