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Organization
LIVING LEGACIES THERAPEUTIC SERVICES PLLC
Active
Organization
LIVING LEGACIES THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KIMBLE LCSW (OWNER)
(980) 225-1585
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 225-1585
(980) 701-0046
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 225-1585
(980) 701-0046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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