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1952680399
DAMION BETHEA
CONCORD, NC
NPI
1952680399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
-- DAMION BETHEA
300 COPPERFIELD BLVD NE STE 105
CONCORD, NC 28025-2428
Phone number: 704-332-9001
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Mailing Address
-- DAMION BETHEA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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