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Individual

MRS. BLAIR THERESA HAMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1914 BRUNSWICK AVE, #1B, CHARLOTTE, NC 28207-2808
(704) 910-2055
Mailing address
3232 KAYLA LN, CHARLOTTE, NC 28215-2713
(801) 915-5130

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
4841
NC

Other

Enumeration date
08/31/2011
Last updated
03/02/2016
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