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Individual

DORI LARA WHITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10521 STALLIONS GLEN LN, CHARLOTTE, NC 28277-0238
(917) 806-5025
Mailing address
10521 STALLIONS GLEN LN, CHARLOTTE, NC 28277-0238
(917) 806-5025

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C006754
NC

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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