Individual
CHARMAINE PHILLIPS MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2124 CROWN CENTRE DR, CHARLOTTE, NC 28227-7803
(704) 849-0144
(704) 845-1611
Mailing address
2124 CROWN CENTRE DR STE 400, CHARLOTTE, NC 28227-7804
(704) 849-0144
(704) 845-1611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14932
NC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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