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1962111864
SHANTE RENEE ANDERSON
MOUNT AIRY, NC
NPI
1962111864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 28335)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
SHANTE RENEE ANDERSON LCAS-A
940 W LEBANON ST
MOUNT AIRY, NC 27030-2222
Phone number: 336-783-6919
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Mailing Address
SHANTE RENEE ANDERSON LCAS-A
940 W LEBANON ST
MOUNT AIRY, NC 27030-2222
Phone number: 336-783-6919
Copy
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