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1922313899
SHANTE M VINES
CHARLOTTE, NC
NPI
1922313899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007081)
Enumeration Date
2010-08-16
Last Update Date
2011-04-13
Business Address
-- SHANTE M VINES
2300 MCCLINTOCK RD
CHARLOTTE, NC 28205-5214
Phone number: 704-369-9222
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Mailing Address
-- SHANTE M VINES
PO BOX 620486
CHARLOTTE, NC 28262-0108
Phone number: 704-369-9222
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