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1871928879
BRANDON DICKENS
GASTONIA, NC
NPI
1871928879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A10004)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
Mr. BRANDON DICKENS M.S., NCC, LPCA
1209 E GARRISON BLVD
GASTONIA, NC 28054-5115
Phone number: 704-864-6573
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Mailing Address
Mr. BRANDON DICKENS M.S., NCC, LPCA
6710 FARTHINGTON CIR APT. 1C
CHARLOTTE, NC 28217-2979
Phone number: 336-580-2169
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