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1881231942
ILSE SUCELY DE LEON
CONCORD, NC
NPI
1881231942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15411)
Enumeration Date
2019-12-06
Last Update Date
2019-12-06
Business Address
ILSE SUCELY DE LEON
170 DAVIDSON HWY STE 201
CONCORD, NC 28027-4255
Phone number: 980-209-6328
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Mailing Address
ILSE SUCELY DE LEON
170 DAVIDSON HWY STE 201
CONCORD, NC 28027-4255
Phone number: 980-209-6328
Copy
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