TIM S. VANDERGAST

CONCORD, NC
NPI1700087756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: NC  45941)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- TIM S. VANDERGAST MA, NCC
952 COPPERFIELD BLVD NE
CONCORD, NC 28025-2433
Phone number: 704-786-7709
Mailing Address
-- TIM S. VANDERGAST MA, NCC
3967 TENNEYSON CT
CONCORD, NC 28027-8119
Phone number: 704-210-8450
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