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1760949366
LAURA A BEAVER
CHARLOTTE, NC
NPI
1760949366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC-14152)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
Ms. LAURA A BEAVER CSACR
1977 J N PEASE PL STE 104
CHARLOTTE, NC 28262-4528
Phone number: 704-215-4095
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Mailing Address
Ms. LAURA A BEAVER CSACR
8720 AVEBURY DR APT K
CHARLOTTE, NC 28213-3164
Phone number: 980-355-2290
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