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1730562067
TIA MINTZ
GASTONIA, NC
NPI
1730562067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC 264675663)
Enumeration Date
2015-07-06
Last Update Date
2015-07-06
Business Address
-- TIA MINTZ
635 COX RD SUITE B
GASTONIA, NC 28054-3424
Phone number: 704-691-7561
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Mailing Address
-- TIA MINTZ
635 COX RD SUITE B
GASTONIA, NC 28054-3424
Phone number: 704-691-7561
Copy
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