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Individual

ANGELA KOONTZ HARTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 BRANDY TRACE LN, STOKESDALE, NC 27357-8010
(336) 317-0742
Mailing address
125 BRANDY TRACE LN, STOKESDALE, NC 27357-8010
(336) 317-0742

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NC

Other

Enumeration date
12/01/2017
Last updated
12/01/2017
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