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Organization
THE CENTER AT LAKE NORMAN
Active
Organization
THE CENTER AT LAKE NORMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GREEN LMFTA (OWNER/MANAGER)
(704) 980-9234
Entity
Organization
Contact information
Practice address
132 JOE KNOX AVE STE 100, MOORESVILLE, NC 28117-9203
(704) 980-9234
(866) 321-9367
Mailing address
132 JOE KNOX AVE STE 100, MOORESVILLE, NC 28117-9203
(704) 980-9234
(866) 321-9367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7015A
NC
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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