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Individual

LARRY LIEBGOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
10800 SIKES PL STE 300, CHARLOTTE, NC 28277-8124
(720) 530-0500
Mailing address
1615 RIVER BEND BLVD, INDIAN LAND, SC 29707-5523
(720) 530-0500

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13662
CO
101YP2500X
Professional Counselor
Primary
13997
NC

Other

Enumeration date
08/09/2006
Last updated
03/25/2019
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