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1942802152
SHANTIL RENEA HUBBARD
LYNCHBURG, VA
NPI
1942802152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-26865)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
Ms. SHANTIL RENEA HUBBARD MA,QP, LCAS-A
2821 EASTBROOK RD
LYNCHBURG, VA 24501-7701
Phone number: 434-258-4136
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Mailing Address
Ms. SHANTIL RENEA HUBBARD MA,QP, LCAS-A
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-842-6359
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