KATELYN BROOKE MEDINA

CHARLOTTE, NC
NPI1063011153
Former NameKATELYN BROOKE LOCKLEAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C015751)
Enumeration Date2020-10-20
Last Update Date2023-05-17
Business Address
KATELYN BROOKE MEDINA LCSW
5200 PARK RD STE 218B
CHARLOTTE, NC 28209-3650
Phone number: 866-700-1606
Mailing Address
KATELYN BROOKE MEDINA LCSW
PO BOX 8879
ASHEVILLE, NC 28814-8879
Phone number: 866-700-1606
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