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1831489210
SHANISE BLACKMON DAVIS
KANNAPOLIS, NC
NPI
1831489210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A8739)
Enumeration Date
2011-04-19
Last Update Date
2017-01-26
Business Address
Miss SHANISE BLACKMON DAVIS MA, NCC, LPC
339 ESTHER CIR
KANNAPOLIS, NC 28083-9026
Phone number: 704-224-3260
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Mailing Address
Miss SHANISE BLACKMON DAVIS MA, NCC, LPC
339 ESTHER CIR
KANNAPOLIS, NC 28083-9026
Phone number: 704-298-8926
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