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1750809760
BRANDON OSTWALT
STATESVILLE, NC
NPI
1750809760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A13294)
Enumeration Date
2017-08-30
Last Update Date
2017-08-30
Business Address
BRANDON OSTWALT MA, LPCA
913 N CAROLINA AVE
STATESVILLE, NC 28677-3414
Phone number: 704-871-0934
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Mailing Address
BRANDON OSTWALT MA, LPCA
221 HICKS CREEK RD
TROUTMAN, NC 28166-8667
Phone number: 704-929-8270
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