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1801496138
QUEEN WILLARD
CHARLOTTE, NC
NPI
1801496138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-26319)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
QUEEN WILLARD
521 CLANTON RD
CHARLOTTE, NC 28217-1369
Phone number: 704-755-0150
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Mailing Address
QUEEN WILLARD
521 CLANTON RD
CHARLOTTE, NC 28217-1369
Phone number:
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