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1730482852
TAMBGRA JUANETTE BROADAWAY
CHARLOTTE, NC
NPI
1730482852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 8319)
Enumeration Date
2010-12-11
Last Update Date
2018-02-01
Business Address
TAMBGRA JUANETTE BROADAWAY LPC
1200 E MOREHEAD ST STE 20L
CHARLOTTE, NC 28204-2872
Phone number: 704-578-7543
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Mailing Address
TAMBGRA JUANETTE BROADAWAY LPC
1200 E MOREHEAD ST STE 20L
CHARLOTTE, NC 28204-2872
Phone number: 704-578-7543
Copy
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