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Individual

GLENN RANDOLPH BORROR KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LCMHC, NCC

Contact information

Practice address
708 S CHESTNUT ST, GASTONIA, NC 28054-4548
(704) 865-3525
Mailing address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(980) 477-1727

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12699
NC

Other

Enumeration date
02/08/2017
Last updated
05/25/2021
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