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1942581210
JACLYN VAUSE BERRY
CHARLOTTE, NC
NPI
1942581210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 11117)
Enumeration Date
2011-08-31
Last Update Date
2024-07-15
Business Address
JACLYN VAUSE BERRY LCMHC
3541 RANDOLPH RD STE 210
CHARLOTTE, NC 28211-1082
Phone number: 704-381-8336
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Mailing Address
JACLYN VAUSE BERRY LCMHC
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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