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Individual

MICHELLE BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
315 E WORTHINGTON AVE, CHARLOTTE, NC 28203-4711
(704) 335-6100
(704) 335-4001
Mailing address
315 E WORTHINGTON AVE, CHARLOTTE, NC 28203-4711
(704) 335-6100
(704) 335-4001

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7074A
NC

Other

Enumeration date
03/22/2007
Last updated
09/08/2011
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