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Individual

MS. VIVIAN FAYE CHARVAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
107 N LAFAYETTE ST, SHELBY, NC 28150-4445
(704) 692-0417
Mailing address
1506 SHELBY HWY LOT 3, BLACKSBURG, SC 29702-9681
(619) 323-8850

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18327
NC

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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