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Individual
TIMOTHY MARK HARTLINE
Active
Individual
TIMOTHY MARK HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16968
NC
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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