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1821666975
IESHA MON'ET WALL
CONCORD, NC
NPI
1821666975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-27338)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
IESHA MON'ET WALL
284 EXECUTIVE PARK DR STE 100284
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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Mailing Address
IESHA MON'ET WALL
284 EXECUTIVE PARK DR STE 100284
CONCORD, NC 28025-1831
Phone number: 704-939-1100
Copy
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