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1932730108
KORDARYL THOMAS
CHARLOTTE, NC
NPI
1932730108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CDAC-22217)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
KORDARYL THOMAS
6115 HICKORY GROVE RD
CHARLOTTE, NC 28215-4207
Phone number: 704-532-4262
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Mailing Address
KORDARYL THOMAS
6115 HICKORY GROVE RD
CHARLOTTE, NC 28215-4207
Phone number: 704-532-4262
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