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1881152403
CANDICE VIDA COULTER
WAXHAW, NC
NPI
1881152403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC 11636)
Enumeration Date
2019-03-04
Last Update Date
2020-10-26
Business Address
CANDICE VIDA COULTER LPC, NCC
9929 REA RD STE 201
WAXHAW, NC 28173
Phone number: 704-316-1650
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Mailing Address
CANDICE VIDA COULTER LPC, NCC
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-316-1650
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