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1720283088
LESLIE BURNSIDE
CHARLOTTE, NC
NPI
1720283088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 2860)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- LESLIE BURNSIDE
6307 HONEGGER DR
CHARLOTTE, NC 28211-4716
Phone number: 704-442-0522
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Mailing Address
-- LESLIE BURNSIDE
6307 HONEGGER DR
CHARLOTTE, NC 28211-4716
Phone number:
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