Individual
GERALD WALTER ZIEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
1115 REDCOAT DR, CHARLOTTE, NC 28211-4743
(704) 778-2799
Mailing address
1115 REDCOAT DR, CHARLOTTE, NC 28211-4743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3043
NC
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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