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Organization

SUCCESSFUL MINDS

Active
Other names
SUCCESSFUL MINDS, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNETTE W BURSTON B.S M.E.D (OWNER)
(704) 538-8867
Entity
Organization

Contact information

Practice address
2134 CAPERNIUM RD TRLR 2, CHERRYVILLE, NC 28021-9404
(704) 538-8867
Mailing address
2134 CAPERNIUM RD TRLR 2, CHERRYVILLE, NC 28021-9404
(704) 538-8867

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NC

Other

Enumeration date
09/23/2014
Last updated
09/23/2014
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