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1902296445
SHAMANDA SHANTA BURSTON
CHARLOTTE, NC
NPI
1902296445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-21626)
Enumeration Date
2015-02-04
Last Update Date
2024-02-28
Business Address
MS. SHAMANDA SHANTA BURSTON LCMHC, LCAS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-322-9001
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Mailing Address
MS. SHAMANDA SHANTA BURSTON LCMHC, LCAS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number:
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