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Individual

HEATHER LEIGHANN VANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 WALL ST, THOMASVILLE, NC 27360-4538
(704) 939-1184
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1894

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/02/2008
Last updated
07/02/2008
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