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1700110830
HEATHER STATON COLOMB
CHARLOTTE, NC
NPI
1700110830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101Y00000X Counselor
(Licence: NC P005145)
Enumeration Date
2009-09-22
Last Update Date
2012-03-19
Business Address
-- HEATHER STATON COLOMB LCSW, LCAS-P
2300 RANDOLPH RD
CHARLOTTE, NC 28207-1562
Phone number: 704-316-7760
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Mailing Address
-- HEATHER STATON COLOMB LCSW, LCAS-P
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-316-7760
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