The Center At Lake Norman | |
132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 | |
(704) 980-9234 | |
(866) 321-9367 |
Full Name | The Center At Lake Norman |
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Speciality | Marriage & Family Therapist |
Location | 132 Joe Knox Ave Ste 100, Mooresville, North Carolina |
Authorized Official Name and Position | Larry Green (OWNER/MANAGER) |
Authorized Official Contact | 7049809234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Center At Lake Norman 132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 Ph: (704) 980-9234 | The Center At Lake Norman 132 Joe Knox Ave Ste 100 Mooresville NC 28117-9203 Ph: (704) 980-9234 |
NPI Number | 1043516008 |
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Provider Enumeration Date | 02/08/2011 |
Last Update Date | 02/08/2011 |
Identifier | Type | State | Issuer |
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1043516008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 7015A (North Carolina) | Primary |
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