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Organization
THERAPUTIC REMEDY
Active
Organization
THERAPUTIC REMEDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WILSON (OWNER)
(678) 856-3471
Entity
Organization
Contact information
Practice address
5009 BEATTIES FORD RD, 701-371, CHARLOTTE, NC 28216-2859
(678) 856-3471
Mailing address
5009 BEATTIES FORD RD, 701-371, CHARLOTTE, NC 28216-2859
(678) 856-3471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C008104
NC
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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