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Individual

GLORIA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8420 MEDICAL PLAZA DR STE 200, CHARLOTTE, NC 28262-9759
(980) 999-3405
(980) 999-3550
Mailing address
8420 MEDICAL PLAZA DR STE 200, CHARLOTTE, NC 28262-9759
(980) 999-3405
(980) 999-3550

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000026296031
COUNSELOR
NC
Enumeration date
08/09/2021
Last updated
08/09/2021
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