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1841576287
SHELLEY ALICEA
GASTONIA, NC
NPI
1841576287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 1901)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
SHELLEY ALICEA LCAS
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-865-1558
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Mailing Address
SHELLEY ALICEA LCAS
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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