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1912148941
CORA SHADE BENNETT
CHARLOTTE, NC
NPI
1912148941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003598)
Enumeration Date
2009-03-21
Last Update Date
2009-03-21
Business Address
Mrs. CORA SHADE BENNETT LCSW
6517 ANDORA DR
CHARLOTTE, NC 28227-8072
Phone number: 704-568-0872
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Mailing Address
Mrs. CORA SHADE BENNETT LCSW
6517 ANDORA DR
CHARLOTTE, NC 28227-8072
Phone number: 704-568-0872
Copy
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