Individual
MRS. KELLIE MARIE SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8603 DANSINGTON CT, WAXHAW, NC 28173-6620
(704) 321-9500
Mailing address
8603 DANSINGTON CT, WAXHAW, NC 28173-6620
(704) 321-9500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11754
NC
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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