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Organization

A TRINITY CONNECTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BLAKE L DANNER (OWNER)
(704) 917-9102
Entity
Organization

Contact information

Practice address
1630 VILLAGE CT, GASTONIA, NC 28054-0421
(704) 917-9102
Mailing address
1630 VILLAGE CT, GASTONIA, NC 28054-6637
(704) 917-9102

Taxonomy

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

Other

Enumeration date
03/27/2012
Last updated
03/27/2012
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