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Individual

EMILY FUNDERBURK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1145 PINEVILLE-MATTHEWS ROAD, MATTHEWS, NC 28105
(704) 849-0686
Mailing address
11005 BLUE STREAM LANE, INDIAN TRAIL, NC 28079

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9219
NC

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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