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1699255059
RALPH GORDON MEACHUM
CHARLOTTE, NC
NPI
1699255059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC csac-15131)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
RALPH GORDON MEACHUM Mdiv, CSAC
10348 PARK RD
CHARLOTTE, NC 28210-8507
Phone number: 704-288-1097
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Mailing Address
RALPH GORDON MEACHUM Mdiv, CSAC
9918 BARRANDS LN
CHARLOTTE, NC 28278-8030
Phone number: 336-588-5513
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