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1063011153
KATELYN BROOKE MEDINA
CHARLOTTE, NC
NPI
1063011153
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Former Name
KATELYN BROOKE LOCKLEAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C015751)
Enumeration Date
2020-10-20
Last Update Date
2023-05-17
Business Address
KATELYN BROOKE MEDINA LCSW
5200 PARK RD STE 218B
CHARLOTTE, NC 28209-3650
Phone number: 866-700-1606
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Mailing Address
KATELYN BROOKE MEDINA LCSW
PO BOX 8879
ASHEVILLE, NC 28814-8879
Phone number: 866-700-1606
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